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1235219015
JOHN D EDWARDS
LAFAYETTE, IN
NPI
1235219015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05003445A)
Enumeration Date
2006-10-16
Last Update Date
2020-06-15
Business Address
-- JOHN D EDWARDS PT
1411 S CREASY LN SUITE 100
LAFAYETTE, IN 47905-7438
Phone number: 765-447-5552
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Mailing Address
-- JOHN D EDWARDS PT
PO BOX 4699
LAFAYETTE, IN 47903-4699
Phone number: 765-449-2732
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