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1639402019
NATHAN WADDLE
CARMEL, IN
NPI
1639402019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06002984A)
Enumeration Date
2009-09-16
Last Update Date
2009-09-16
Business Address
-- NATHAN WADDLE
188 MEDICAL DR
CARMEL, IN 46032
Phone number: 317-573-1037
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Mailing Address
-- NATHAN WADDLE
14567 MOUNT CALVARY RD
LOOGOOTEE, IN 47553-4903
Phone number: 812-709-0941
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