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1649422155
JACOB E. BLAINE
ITHACA, NY
NPI
1649422155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 022013-1)
Enumeration Date
2008-10-15
Last Update Date
2008-10-15
Business Address
-- JACOB E. BLAINE MS, PT
1001 W SENECA ST
ITHACA, NY 14850-3342
Phone number: 607-277-8020
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Mailing Address
-- JACOB E. BLAINE MS, PT
1001 W SENECA ST
ITHACA, NY 14850-3342
Phone number: 607-277-8020
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