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1487769352
GARY LEON BLACKBURN
CHULA VISTA, CA
NPI
1487769352
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 28897)
Enumeration Date
2006-08-20
Last Update Date
2014-04-29
Business Address
Mr. GARY LEON BLACKBURN M.S.P.T.
1055 TIERRA DEL REY SUITE C
CHULA VISTA, CA 91910-7875
Phone number: 619-656-5102
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Mailing Address
Mr. GARY LEON BLACKBURN M.S.P.T.
1055 TIERRA DEL REY SUITE C
CHULA VISTA, CA 91910-7875
Phone number: 619-656-5102
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