MARK OLIVER MAGNO CRUZ

CROWN POINT, IN
NPI1669788691
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05008235A)
Enumeration Date2010-08-27
Last Update Date2010-08-27
Business Address
-- MARK OLIVER MAGNO CRUZ PTR
6685 E 117TH AVE
CROWN POINT, IN 46307-7808
Phone number: 219-663-6392
Mailing Address
-- MARK OLIVER MAGNO CRUZ PTR
6685 E 117TH AVE
CROWN POINT, IN 46307-7808
Phone number: 219-663-6392
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