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1205345915
BRITNEE MAZELLE PANNELL
FORT WAYNE, IN
NPI
1205345915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05012668A)
Enumeration Date
2017-09-26
Last Update Date
2017-09-26
Business Address
BRITNEE MAZELLE PANNELL DPT
3840 NEW VISION DR
FORT WAYNE, IN 46845-1708
Phone number: 604-832-4222
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Mailing Address
BRITNEE MAZELLE PANNELL DPT
1795 ALYSHEBA WAY STE 3202
LEXINGTON, KY 40509-2280
Phone number: 859-265-8868
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