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1316974611
DOUGLAS BLAKEY
DECATUR, IL
NPI
1316974611
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2006-06-26
Last Update Date
2007-07-08
Business Address
DOUGLAS BLAKEY
185 W IMBODEN DR
DECATUR, IL 62521-5251
Phone number: 217-233-1425
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Mailing Address
DOUGLAS BLAKEY
1340 W CALIFORNIA AVE
DECATUR, IL 62522-2716
Phone number:
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