MICHAEL BLAYLOCK

MONROVIA, CA
NPI1700920428
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2007-02-16
Last Update Date2007-07-08
Business Address
-- MICHAEL BLAYLOCK
902 S MYRTLE AVE
MONROVIA, CA 91016-3427
Phone number: 626-303-1541
Mailing Address
-- MICHAEL BLAYLOCK
902 S MYRTLE AVE
MONROVIA, CA 91016-3427
Phone number: 626-303-1541
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