BENEDICT IANE ROQUE LUSUNG

VALPARAISO, IN
NPI1427663418
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05013907A)
Enumeration Date2020-09-15
Last Update Date2020-11-10
Business Address
BENEDICT IANE ROQUE LUSUNG
1200 ROOSEVELT PL UNIT A
VALPARAISO, IN 46383-3707
Phone number: 219-548-4663
Mailing Address
BENEDICT IANE ROQUE LUSUNG
1200 ROOSEVELT PL UNIT A
VALPARAISO, IN 46383-3707
Phone number: 219-548-4663
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