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1043555881
UDAYKANTH THUMMA
FORT WAYNE, IN
NPI
1043555881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05009773A)
Enumeration Date
2012-12-05
Last Update Date
2012-12-05
Business Address
Mr. UDAYKANTH THUMMA
5604 WOODSHIRE DR APT # 3
FORT WAYNE, IN 46835-2968
Phone number: 260-444-7529
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Mailing Address
Mr. UDAYKANTH THUMMA
5604 WOODSHIRE DR APT # 3
FORT WAYNE, IN 46835
Phone number:
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