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1609030493
MARIA ROSE LALYN TAN ELVINIA
INDIANAPOLIS, IN
NPI
1609030493
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05008445A)
Enumeration Date
2008-07-11
Last Update Date
2008-07-14
Business Address
-- MARIA ROSE LALYN TAN ELVINIA
7301 E 16TH STREET WILDWOOD HEALTH CARE CENTER
INDIANAPOLIS, IN 46219
Phone number: 317-353-1290
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Mailing Address
-- MARIA ROSE LALYN TAN ELVINIA
3916 WIND DRIFT DR E APT 1D
INDIANAPOLIS, IN 46254-3216
Phone number:
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