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1497208029
GABRIEL BLANCO
SUMMERVILLE, SC
NPI
1497208029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 8271)
Enumeration Date
2016-08-01
Last Update Date
2016-08-01
Business Address
-- GABRIEL BLANCO DPT
634 BACONS BRIDGE RD
SUMMERVILLE, SC 29485-4102
Phone number: 843-821-2272
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Mailing Address
-- GABRIEL BLANCO DPT
4302 PINE TRAIL LN
SUMMERVILLE, SC 29486-5357
Phone number: 513-477-8891
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