ALEC BLANCO

LAKE CITY, FL
NPI1578039772
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA2888)
Enumeration Date2018-10-16
Last Update Date2018-10-16
Business Address
ALEC BLANCO
560 SW MCFARLANE AVE
LAKE CITY, FL 32025-5614
Phone number: 386-758-4777
Mailing Address
ALEC BLANCO
1036 SW LOGAN GLN APT 203
LAKE CITY, FL 32025-5666
Phone number: 786-879-1552
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