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1619953221
JON ANTHONY DESMARAIS
SOUTH BEND, IN
NPI
1619953221
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05006317A)
Enumeration Date
2005-12-16
Last Update Date
2007-10-05
Business Address
Mr. JON ANTHONY DESMARAIS P.T.
401 E COLFAX AVE STE. 102
SOUTH BEND, IN 46617-2737
Phone number: 574-234-1059
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Mailing Address
Mr. JON ANTHONY DESMARAIS P.T.
401 E COLFAX AVE STE. 102
SOUTH BEND, IN 46617-2737
Phone number: 574-234-1059
Copy
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