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1306336391
BLAKE KEITH MCDONALD
BUCKEYE, AZ
NPI
1306336391
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: AZ LPT-30012)
Enumeration Date
2018-05-15
Last Update Date
2018-05-15
Business Address
BLAKE KEITH MCDONALD PT, DPT
23374 W YUMA RD STE 104
BUCKEYE, AZ 85326-3120
Phone number: 623-242-6908
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Mailing Address
BLAKE KEITH MCDONALD PT, DPT
23374 W YUMA RD STE 104
BUCKEYE, AZ 85326-3120
Phone number: 623-242-6908
Copy
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