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1518164458
MICHELLE L VANEK
FORT WAYNE, IN
NPI
1518164458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06002147A)
Enumeration Date
2007-07-02
Last Update Date
2007-07-08
Business Address
Mrs. MICHELLE L VANEK pta
3811 PARNELL AVE
FORT WAYNE, IN 46805-1409
Phone number: 260-482-4651
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Mailing Address
Mrs. MICHELLE L VANEK pta
3819 WILLSHIRE ESTATES DR
FORT WAYNE, IN 46815-5331
Phone number: 260-486-2738
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