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1720585912
KALYAN KHANAL
FORT WAYNE, IN
NPI
1720585912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05012735A)
Enumeration Date
2018-04-12
Last Update Date
2018-04-12
Business Address
KALYAN KHANAL
6324 CORNWALLIS DR APT 2B
FORT WAYNE, IN 46804-8364
Phone number: 260-431-9783
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Mailing Address
KALYAN KHANAL
6324 CORNWALLIS DR APT 2B
FORT WAYNE, IN 46804-8364
Phone number: 260-431-9783
Copy
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