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1154382638
SHANE TOLBERT
INDIANAPOLIS, IN
NPI
1154382638
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05007793A)
Enumeration Date
2006-03-31
Last Update Date
2012-01-11
Business Address
SHANE TOLBERT P.T.
5949 W RAYMOND ST
INDIANAPOLIS, IN 46241-4348
Phone number: 317-390-5575
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Mailing Address
SHANE TOLBERT P.T.
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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