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1487360053
CYNYRLYNNE LOLA SUGANOB
BLOOMINGTON, IN
NPI
1487360053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05012864A)
Enumeration Date
2023-01-26
Last Update Date
2023-01-26
Business Address
CYNYRLYNNE LOLA SUGANOB PT, DPT
1332 W ARCH HAVEN AVE STE E
BLOOMINGTON, IN 47403-2078
Phone number: 812-333-7018
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Mailing Address
CYNYRLYNNE LOLA SUGANOB PT, DPT
1455 W WESTWIND CT
BLOOMINGTON, IN 47403-8926
Phone number: 812-259-1442
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