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1154990893
EVAN JURJEVIC
FORT WAYNE, IN
NPI
1154990893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251S0007X Physical Therapist, Sports
(Licence: IN 05014201A)
Enumeration Date
2021-06-17
Last Update Date
2021-06-30
Business Address
EVAN JURJEVIC
3946 ICE WAY
FORT WAYNE, IN 46805-1018
Phone number: 260-266-4007
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Mailing Address
EVAN JURJEVIC
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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