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1174360119
MICHAEL SUNDAHL
FORT WAYNE, IN
NPI
1174360119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-07-09
Last Update Date
2024-07-09
Business Address
MICHAEL SUNDAHL
3931 WINDSWEPT DR
FORT WAYNE, IN 46815-5655
Phone number: 260-797-3421
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Mailing Address
MICHAEL SUNDAHL
3931 WINDSWEPT DR
FORT WAYNE, IN 46815-5655
Phone number:
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