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1487015525
ERNEST DELGADO
PORTAGE, IN
NPI
1487015525
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06003167A)
Enumeration Date
2016-03-17
Last Update Date
2016-03-17
Business Address
ERNEST DELGADO PTA
3691 WILLOWCREEK RD
PORTAGE, IN 46368-5076
Phone number: 219-759-4380
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Mailing Address
ERNEST DELGADO PTA
8259 WICKER AVE
SAINT JOHN, IN 46373-8878
Phone number: 219-365-6560
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