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1063913184
ROBERT ENGELHARDT
PORTAGE, IN
NPI
1063913184
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
146M00000X Emergency Medical Technician, Intermediate
Enumeration Date
2018-02-23
Last Update Date
2018-02-23
Business Address
ROBERT ENGELHARDT
3075 MALLORY ST
PORTAGE, IN 46368-7507
Phone number: 219-286-5892
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Mailing Address
ROBERT ENGELHARDT
3075 MALLORY ST
PORTAGE, IN 46368-7507
Phone number: 219-286-5892
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