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1760222541
TROY JUSTIN VANDEEL
MUNSTER, IN
NPI
1760222541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 99124987A)
Enumeration Date
2024-05-29
Last Update Date
2024-05-29
Business Address
TROY JUSTIN VANDEEL PTA
730 45TH ST
MUNSTER, IN 46321-2818
Phone number: 219-924-3300
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Mailing Address
TROY JUSTIN VANDEEL PTA
14180 W 94TH AVE
SAINT JOHN, IN 46373-8915
Phone number:
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