Individual
GABRIEL DEBORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA, LMT
Contact information
Practice address
801 WASHINGTON ST, BRIGHTON, MI 48116-1317
(419) 349-2821
Mailing address
801 WASHINGTON ST, BRIGHTON, MI 48116-1317
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
33.010013
OH
Other
Enumeration date
03/17/2013
Last updated
03/17/2013
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