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1528702099
BLAINE MARSHALL
LAKE JACKSON, TX
NPI
1528702099
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1352837)
Enumeration Date
2022-04-21
Last Update Date
2022-04-21
Business Address
BLAINE MARSHALL
210 LAKE RD STE 500
LAKE JACKSON, TX 77566-4982
Phone number: 979-258-7228
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Mailing Address
BLAINE MARSHALL
12400 SHADOW CREEK PKWY APT 409
PEARLAND, TX 77584-7349
Phone number:
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