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1225280852
DIDYMUS OMAR ACADEMIA
MUNCIE, IN
NPI
1225280852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05005962A)
Enumeration Date
2008-10-14
Last Update Date
2008-10-14
Business Address
-- DIDYMUS OMAR ACADEMIA PT
3600 W BETHEL AVE
MUNCIE, IN 47304-5407
Phone number: 765-213-3870
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Mailing Address
-- DIDYMUS OMAR ACADEMIA PT
3813 S MADISON ST
MUNCIE, IN 47302-5758
Phone number:
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