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1245067024
MICHAEL MANIS
MISHAWAKA, IN
NPI
1245067024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist School
(Licence: IN 1616743)
Enumeration Date
2024-09-17
Last Update Date
2024-09-25
Business Address
MICHAEL MANIS
56100 BITTERSWEET RD
MISHAWAKA, IN 46545-7715
Phone number: 574-968-9600
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Mailing Address
MICHAEL MANIS
56100 BITTERSWEET RD
MISHAWAKA, IN 46545-7715
Phone number:
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