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1730638602
JOSE RODNEY EVANGELISTA
KOKOMO, IN
NPI
1730638602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2016-10-03
Last Update Date
2016-10-03
Business Address
-- JOSE RODNEY EVANGELISTA
2209 CARR DR
KOKOMO, IN 46902-9543
Phone number: 765-210-0633
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Mailing Address
-- JOSE RODNEY EVANGELISTA
2209 CARR DR
KOKOMO, IN 46902-9543
Phone number: 765-210-0633
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