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1235591090
JOSEPH GONZALEZ
FORT WAYNE, IN
NPI
1235591090
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246Z00000X Specialist/Technologist, Other
(Licence: IN 36002065A)
Enumeration Date
2016-03-22
Last Update Date
2016-03-22
Business Address
Mr. JOSEPH GONZALEZ LAT, ATC
11130 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845-1735
Phone number: 260-443-4100
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Mailing Address
Mr. JOSEPH GONZALEZ LAT, ATC
11130 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845-1735
Phone number: 260-443-4199
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