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1659710655
JEFFREY S RICHARD
INDIANAPOLIS, IN
NPI
1659710655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05011164A)
Enumeration Date
2013-06-24
Last Update Date
2014-11-05
Business Address
-- JEFFREY S RICHARD PT
433 N CAPITOL AVE STE 102
INDIANAPOLIS, IN 46204-1234
Phone number: 317-860-1646
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Mailing Address
-- JEFFREY S RICHARD PT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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