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1396350344
DEREK MUMAW
FORT WAYNE, IN
NPI
1396350344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05013923A)
Enumeration Date
2020-09-15
Last Update Date
2020-09-15
Business Address
DEREK MUMAW DPT
8420 ILLINOIS RD
FORT WAYNE, IN 46804
Phone number: 260-969-8992
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Mailing Address
DEREK MUMAW DPT
4251 LAHMEYER RD
FORT WAYNE, IN 46815-5676
Phone number: 260-432-4700
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