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1154935534
JORGE PABLO
FORT WAYNE, IN
NPI
1154935534
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05013853A)
Enumeration Date
2020-09-03
Last Update Date
2020-09-03
Business Address
JORGE PABLO DPT
3805 S CALHOUN ST
FORT WAYNE, IN 46807-2010
Phone number: 260-497-7191
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Mailing Address
JORGE PABLO DPT
12844 COLDWATER RD STE B
FORT WAYNE, IN 46845-8833
Phone number:
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