KENNETH LLANOS FABUGAIS

VALPARAISO, IN
NPI1295233351
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05004854A)
Enumeration Date2018-01-24
Last Update Date2018-01-24
Business Address
KENNETH LLANOS FABUGAIS
1620 COUNTRY CLUB RD
VALPARAISO, IN 46383-8427
Phone number: 219-548-4663
Mailing Address
KENNETH LLANOS FABUGAIS
1620 COUNTRY CLUB RD
VALPARAISO, IN 46383-8427
Phone number: 219-548-4663
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