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1609063908
PRAVEEN PUTLUR
SOUTH BEND, IN
NPI
1609063908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: IN 05008806A)
Enumeration Date
2007-10-01
Last Update Date
2007-10-01
Business Address
Mr. PRAVEEN PUTLUR MS, PT, CSCS
111 W JEFFERSON BLVD SUITE 100
SOUTH BEND, IN 46601-1994
Phone number: 574-647-2600
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Mailing Address
Mr. PRAVEEN PUTLUR MS, PT, CSCS
1710 ENCHANTED FOREST ST
SOUTH BEND, IN 46637-4756
Phone number: 312-502-0206
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