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1114660271
STEPHEN ENYIAKU
BLOOMINGTON, IN
NPI
1114660271
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06005108A)
Enumeration Date
2022-04-18
Last Update Date
2022-04-18
Business Address
STEPHEN ENYIAKU
5911 W STATE ROAD 46
BLOOMINGTON, IN 47404-9359
Phone number: 812-876-6400
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Mailing Address
STEPHEN ENYIAKU
5911 W STATE ROAD 46
BLOOMINGTON, IN 47404-9359
Phone number:
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