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1184126187
MICHELLE LOCK
FORT WAYNE, IN
NPI
1184126187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06004316A)
Enumeration Date
2018-03-06
Last Update Date
2018-03-06
Business Address
MICHELLE LOCK
300 E WASHINGTON BLVD
FORT WAYNE, IN 46802-3124
Phone number: 260-422-5511
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Mailing Address
MICHELLE LOCK
2651 W 900 N
COLUMBIA CITY, IN 46725-7853
Phone number:
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