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1629418173
MARK ALLEN WISE
MUNCIE, IN
NPI
1629418173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN IN05004768A)
Enumeration Date
2013-06-28
Last Update Date
2013-06-28
Business Address
Mr. MARK ALLEN WISE PT
3607 N EVERBROOK LANE
MUNCIE, IN 47304
Phone number: 765-741-8390
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Mailing Address
Mr. MARK ALLEN WISE PT
3607 N EVERBROOK LANE
MUNCIE, IN 47304
Phone number: 765-741-8390
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