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1215719117
ABEL DEEPAK PERUMALA
FORT WAYNE, IN
NPI
1215719117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05014485A)
Enumeration Date
2023-10-17
Last Update Date
2023-10-17
Business Address
ABEL DEEPAK PERUMALA
2314 NAUTILUS CV
FORT WAYNE, IN 46814-8940
Phone number: 248-622-6706
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Mailing Address
ABEL DEEPAK PERUMALA
2314 NAUTILUS CV
FORT WAYNE, IN 46814-8940
Phone number: 248-622-6706
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