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1366742231
GINA MARIE COPELENAD
FORT WAYNE, IN
NPI
1366742231
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06002448A)
Enumeration Date
2010-10-26
Last Update Date
2010-10-26
Business Address
Mrs. GINA MARIE COPELENAD PTA
3420 E STATE BLVD
FORT WAYNE, IN 46805-5605
Phone number: 260-484-3120
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Mailing Address
Mrs. GINA MARIE COPELENAD PTA
3420 E STATE BLVD
FORT WAYNE, IN 46805-5605
Phone number: 260-484-3120
Copy
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