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1609483742
RICK GREGORY BULTINCK
MISHAWAKA, IN
NPI
1609483742
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06003080A)
Enumeration Date
2020-09-23
Last Update Date
2020-09-23
Business Address
RICK GREGORY BULTINCK
4135 ANCHOR DR
MISHAWAKA, IN 46544-9142
Phone number: 574-347-2813
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Mailing Address
RICK GREGORY BULTINCK
4135 ANCHOR DR
MISHAWAKA, IN 46544-9142
Phone number:
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