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1487327458
KRISTEN NICOLE ALCANTARA
GOSHEN, IN
NPI
1487327458
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Former Name
KRISTEN NICOLE WERNTZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06004819A)
Enumeration Date
2021-07-27
Last Update Date
2021-07-27
Business Address
KRISTEN NICOLE ALCANTARA PTA
223 CHICAGO AVE
GOSHEN, IN 46526-2311
Phone number: 574-584-3200
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Mailing Address
KRISTEN NICOLE ALCANTARA PTA
33900 HARPER AVE STE 104
CLINTON TWP, MI 48035-4258
Phone number: 586-350-2644
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