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1326701772
SHAWNA MARIE PONTIOUS
FORT WAYNE, IN
NPI
1326701772
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: IN MT21405160)
Enumeration Date
2021-10-21
Last Update Date
2021-10-21
Business Address
Mrs. SHAWNA MARIE PONTIOUS
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
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Mailing Address
Mrs. SHAWNA MARIE PONTIOUS
6310 STONY BROOK DR
FORT WAYNE, IN 46835-2326
Phone number: 260-745-6273
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