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1053416073
FERNANDO VILLA
INDIANAPOLIS, IN
NPI
1053416073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05003515A)
Enumeration Date
2006-09-14
Last Update Date
2007-07-08
Business Address
-- FERNANDO VILLA
5980 W 71ST ST STE 201
INDIANAPOLIS, IN 46278-1785
Phone number: 317-388-0800
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Mailing Address
-- FERNANDO VILLA
21218 CARLTON CT
NOBLESVILLE, IN 46062-8001
Phone number: 317-877-0098
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