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Individual

MR. DONALD HARLEY BLOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
4921 AMBERTON DR, POWDER SPRINGS, GA 30127-6918
(770) 627-2968
Mailing address
4921 AMBERTON DR, POWDER SPRINGS, GA 30127-6918
(770) 627-2968

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010513
GA

Other

Enumeration date
12/27/2011
Last updated
12/27/2011
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