JACOB PAUL VIRGO

MUNSTER, IN
NPI1356811087
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05011570A)
Enumeration Date2018-11-26
Last Update Date2018-11-26
Business Address
JACOB PAUL VIRGO
901 MACARTHUR BLVD
MUNSTER, IN 46321-2901
Phone number: 219-703-1227
Mailing Address
JACOB PAUL VIRGO
8642 JEFFFERSON AVENUE
MUNSTER, IN 46321
Phone number: 708-856-6302
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PHYSIONIQUE LLC