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1336594605
EMILIANO MENDOZA
FORT WAYNE, IN
NPI
1336594605
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05003078a)
Enumeration Date
2016-04-25
Last Update Date
2016-04-25
Business Address
-- EMILIANO MENDOZA PT
3512 STELLHORN RD
FORT WAYNE, IN 46815-4631
Phone number: 260-483-9081
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Mailing Address
-- EMILIANO MENDOZA PT
3512 STELLHORN RD
FORT WAYNE, IN 46815-4631
Phone number: 260-483-9081
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