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1275262438
BLAKE HOWARD DEBORD
MARTINSBURG, WV
NPI
1275262438
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WV 004173)
Enumeration Date
2022-06-05
Last Update Date
2022-08-16
Business Address
Dr. BLAKE HOWARD DEBORD PT, DPT
5078 WILLIAMSPORT PIKE STE 1
MARTINSBURG, WV 25404-6458
Phone number: 304-271-8895
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Mailing Address
Dr. BLAKE HOWARD DEBORD PT, DPT
54 MAGENTA LN
MARTINSBURG, WV 25405-1443
Phone number:
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