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1255487294
SALLY MARLENE STREET
CROWN POINT, IN
NPI
1255487294
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06000212A)
Enumeration Date
2007-01-25
Last Update Date
2007-07-08
Business Address
Mrs. SALLY MARLENE STREET PTA
6504 E 129TH AVE
CROWN POINT, IN 46307-9087
Phone number: 219-662-7654
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Mailing Address
Mrs. SALLY MARLENE STREET PTA
2906 W 77TH AVE
MERRILLVILLE, IN 46410-4518
Phone number: 219-769-5904
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