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1396014015
DONALD HARLEY BLOUGH
POWDER SPRINGS, GA
NPI
1396014015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT010513)
Enumeration Date
2011-12-27
Last Update Date
2011-12-27
Business Address
Mr. DONALD HARLEY BLOUGH P.T.
4921 AMBERTON DR
POWDER SPRINGS, GA 30127-6918
Phone number: 770-627-2968
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Mailing Address
Mr. DONALD HARLEY BLOUGH P.T.
4921 AMBERTON DR
POWDER SPRINGS, GA 30127-6918
Phone number: 770-627-2968
Copy
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