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1740654136
MEGAN ELLEN ANTALIS
BLOOMINGTON, IN
NPI
1740654136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06005218A)
Enumeration Date
2015-11-23
Last Update Date
2015-11-23
Business Address
Mrs. MEGAN ELLEN ANTALIS
2770 S ADAMS ST
BLOOMINGTON, IN 47403-3242
Phone number: 812-323-4661
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Mailing Address
Mrs. MEGAN ELLEN ANTALIS
3129 S RYAN PL
BLOOMINGTON, IN 47403-4378
Phone number: 419-234-7093
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