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1376760264
AGNES LUCAS VIGILIA-MARAYA
FORT WAYNE, IN
NPI
1376760264
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: IN PT05002613A)
Enumeration Date
2007-04-20
Last Update Date
2007-07-09
Business Address
-- AGNES LUCAS VIGILIA-MARAYA Physical Therapist
8110 NORTHBURY DR
FORT WAYNE, IN 46818-1843
Phone number: 260-489-3704
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Mailing Address
-- AGNES LUCAS VIGILIA-MARAYA Physical Therapist
8110 NORTHBURY DR
FORT WAYNE, IN 46818-1843
Phone number: 260-489-3704
Copy
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