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1588220016
GABRIEL LANTZ
BLOOMINGTON, IN
NPI
1588220016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174H00000X Health Educator
Enumeration Date
2019-05-09
Last Update Date
2019-05-09
Business Address
GABRIEL LANTZ
2401 N WALNUT ST
BLOOMINGTON, IN 47404-2069
Phone number: 812-340-9129
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Mailing Address
GABRIEL LANTZ
615 N STAATS DR
BLOOMINGTON, IN 47408-2737
Phone number: 812-340-9129
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