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1013910934
PETER A PAONESSA
FORT WAYNE, IN
NPI
1013910934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05000862A)
Enumeration Date
2005-05-24
Last Update Date
2007-07-08
Business Address
-- PETER A PAONESSA P.T.
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4133
Phone number: 260-436-8686
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Mailing Address
-- PETER A PAONESSA P.T.
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4133
Phone number: 260-436-8686
Copy
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