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1760029508
VIPUL B PATEL
SOUTH BEND, IN
NPI
1760029508
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06006036A)
Enumeration Date
2019-11-27
Last Update Date
2019-11-27
Business Address
VIPUL B PATEL
5024 W WESTERN AVE
SOUTH BEND, IN 46619-2312
Phone number: 574-318-4600
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Mailing Address
VIPUL B PATEL
27608 RED THISTLE DR
ELKHART, IN 46514-8256
Phone number: 224-200-8033
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