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1396174322
ROSHAN MATHEW
MUNCIE, IN
NPI
1396174322
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05010125A)
Enumeration Date
2013-11-12
Last Update Date
2013-11-12
Business Address
-- ROSHAN MATHEW
2200 W WHITE RIVER BLVD
MUNCIE, IN 47303-8943
Phone number: 765-289-3341
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Mailing Address
-- ROSHAN MATHEW
5229 W KELLER RD
MUNCIE, IN 47304-8943
Phone number: 812-589-6279
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