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1598507279
LUCAS FONTANEZ
HOBART, IN
NPI
1598507279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 99125250A)
Enumeration Date
2024-06-12
Last Update Date
2024-06-12
Business Address
LUCAS FONTANEZ PT
1500 S LAKE PARK AVE
HOBART, IN 46342-6638
Phone number: 219-947-6148
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Mailing Address
LUCAS FONTANEZ PT
326 W WOODLAND CT
LOWELL, IN 46356-2349
Phone number: 219-488-4789
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