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1194264770
GLENN EDUARD CHRISTIANE WUYTS
FAIRBANKS, AK
NPI
1194264770
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 040742)
Enumeration Date
2017-02-16
Last Update Date
2017-02-16
Business Address
-- GLENN EDUARD CHRISTIANE WUYTS
1275 SADLER WAY
FAIRBANKS, AK 99701-3175
Phone number: 412-636-2127
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Mailing Address
-- GLENN EDUARD CHRISTIANE WUYTS
4232 LAKE TAHOE CIR
WEST PALM BEACH, FL 33409-7875
Phone number: 412-636-2127
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