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1023337987
MOHAMED LATIF
MUNSTER, IN
NPI
1023337987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05004117A)
Enumeration Date
2010-05-18
Last Update Date
2010-05-18
Business Address
Mr. MOHAMED LATIF PT
931 RIDGE RD
MUNSTER, IN 46321-1755
Phone number: 219-836-2800
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Mailing Address
Mr. MOHAMED LATIF PT
7132 HARRISON STREET
MERRIVILLE, IN 46410
Phone number: 219-741-7341
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