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1376795500
MARYANN WALTON
BLOOMINGTON, IN
NPI
1376795500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06000426A)
Enumeration Date
2008-10-21
Last Update Date
2008-10-21
Business Address
MARYANN WALTON PTA
725 N BELL TRACE CIR
BLOOMINGTON, IN 47408-4408
Phone number: 812-323-2858
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Mailing Address
MARYANN WALTON PTA
118 MEDICAL DR
CARMEL, IN 46032-2923
Phone number: 317-573-1037
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