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1720230964
BENEDICT AGBIBOA
CARMEL, IN
NPI
1720230964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06001914A)
Enumeration Date
2008-10-21
Last Update Date
2008-10-21
Business Address
-- BENEDICT AGBIBOA PTA
118 MEDICAL DR
CARMEL, IN 46032-2923
Phone number: 317-573-1037
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Mailing Address
-- BENEDICT AGBIBOA PTA
118 MEDICAL DR
CARMEL, IN 46032-2923
Phone number: 317-573-1037
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