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1740743533
ROSS TYLER NELSON
FORT WAYNE, IN
NPI
1740743533
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05011887A)
Enumeration Date
2019-04-09
Last Update Date
2019-04-09
Business Address
ROSS TYLER NELSON PT, DPT
2200 RANDALLIA DR
FORT WAYNE, IN 46805-4638
Phone number: 260-373-3202
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Mailing Address
ROSS TYLER NELSON PT, DPT
2200 RANDALLIA DR
FORT WAYNE, IN 46805-4638
Phone number: 260-373-3202
Copy
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