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1700076213
BRYAN TREFFLEY BOURCIER
FORT WAYNE, IN
NPI
1700076213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05009312A)
Enumeration Date
2007-07-31
Last Update Date
2022-10-20
Business Address
BRYAN TREFFLEY BOURCIER DPT
3946 ICE WAY
FORT WAYNE, IN 46805-1018
Phone number: 260-266-4006
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Mailing Address
BRYAN TREFFLEY BOURCIER DPT
11130 PAKVIEW CIRCLE DRIVE
FORT WAYNE, IN 46845-1545
Phone number: 260-266-7400
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