JOSELITO ESTOQUE ENCABO

FORT WAYNE, IN
NPI1760672133
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IN  31003538A)
Enumeration Date2007-07-31
Last Update Date2007-07-31
Business Address
-- JOSELITO ESTOQUE ENCABO OTR
2827 NORTHGATE BLVD
FORT WAYNE, IN 46835-2903
Phone number: 260-492-1400
Mailing Address
-- JOSELITO ESTOQUE ENCABO OTR
8423 BREMEN WAY
FORT WAYNE, IN 46825-8305
Phone number: 260-490-5090
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