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1487193512
DAVID BONCEK
BLOOMINGTON, IN
NPI
1487193512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05004834)
Enumeration Date
2017-02-22
Last Update Date
2017-02-27
Business Address
-- DAVID BONCEK
600 N JORDAN AVE
BLOOMINGTON, IN 47405-3190
Phone number: 317-250-4336
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Mailing Address
-- DAVID BONCEK
600 N JORDAN AVENUE
BLOOMINGTON, IN 47405-3191
Phone number: 317-250-4336
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