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1255531174
MELISSA CAMPBELL
PORTAGE, IN
NPI
1255531174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06003483A)
Enumeration Date
2007-07-19
Last Update Date
2007-07-19
Business Address
-- MELISSA CAMPBELL PTA
6040 LUTE RD
PORTAGE, IN 46368-5008
Phone number: 219-763-6858
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Mailing Address
-- MELISSA CAMPBELL PTA
116 MAIN STREET P.O. BOX 67
WHEELER, IN 46393
Phone number: 219-759-8468
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