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1689199671
AUSTIN BLALOCK
GLENDALE, AZ
NPI
1689199671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 13214)
Enumeration Date
2017-08-10
Last Update Date
2017-08-10
Business Address
AUSTIN BLALOCK PT
18301 N 79TH AVE
GLENDALE, AZ 85308-8463
Phone number: 623-486-3333
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Mailing Address
AUSTIN BLALOCK PT
18301 N 79TH AVE
GLENDALE, AZ 85308-8463
Phone number: 623-486-3333
Copy
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