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1780084285
CORY LEE FORNAL
FORT WAYNE, IN
NPI
1780084285
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05011468A)
Enumeration Date
2014-09-03
Last Update Date
2019-12-03
Business Address
CORY LEE FORNAL DPT
11130 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Phone number: 260-266-6221
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Mailing Address
CORY LEE FORNAL DPT
11130 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845-1735
Phone number: 260-266-6221
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