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1053662080
JOSHUA NIRMAL PRASAN SUDHARSANA DOSS
FORT WAYNE, IN
NPI
1053662080
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05009844A)
Enumeration Date
2012-10-01
Last Update Date
2012-10-01
Business Address
Mr. JOSHUA NIRMAL PRASAN SUDHARSANA DOSS PT
4407 COVENTRY PKWY
FORT WAYNE, IN 46804-7105
Phone number: 765-506-3639
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Mailing Address
Mr. JOSHUA NIRMAL PRASAN SUDHARSANA DOSS PT
4407 COVENTRY PKWY
FORT WAYNE, IN 46804-7105
Phone number: 765-506-3639
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