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1346672979
JARED WAYNE
VALPARAISO, IN
NPI
1346672979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05011203a)
Enumeration Date
2013-08-06
Last Update Date
2023-07-01
Business Address
JARED WAYNE D.P.T
4005 LANCASTER DR
VALPARAISO, IN 46383-1953
Phone number: 219-510-2256
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Mailing Address
JARED WAYNE D.P.T
PO BOX 1702
VALPARAISO, IN 46384-1702
Phone number: 219-510-2256
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