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1104425651
LAWRENCE DANTAE ROBERTSON
WEST LAFAYETTE, IN
NPI
1104425651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05013745A)
Enumeration Date
2020-10-25
Last Update Date
2024-06-24
Business Address
LAWRENCE DANTAE ROBERTSON PT, DPT
2136 CUMULUS CT
WEST LAFAYETTE, IN 47906-0915
Phone number: 706-267-9773
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Mailing Address
LAWRENCE DANTAE ROBERTSON PT, DPT
2136 CUMULUS CT
WEST LAFAYETTE, IN 47906-0915
Phone number: 706-267-9773
Copy
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