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1376778357
MICHELLE ELIZABETH BRUNSON
FORT WAYNE, IN
NPI
1376778357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05009796A)
Enumeration Date
2009-05-20
Last Update Date
2009-07-15
Business Address
Miss MICHELLE ELIZABETH BRUNSON DPT
3844 NEW VISION DR
FORT WAYNE, IN 46845-1724
Phone number: 260-483-9933
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Mailing Address
Miss MICHELLE ELIZABETH BRUNSON DPT
1229 LOWER HUNTINGTON RD
FORT WAYNE, IN 46819-1355
Phone number: 336-263-8216
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