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1780113464
LOUIS JACOB FULLENKAMP
HUBER HEIGHTS, OH
NPI
1780113464
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OH APP-000084352)
Enumeration Date
2017-06-07
Last Update Date
2017-06-07
Business Address
DR. LOUIS JACOB FULLENKAMP PT, DPT
8412 OLD TROY PIKE
HUBER HEIGHTS, OH 45424-1030
Phone number: 937-235-0068
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Mailing Address
DR. LOUIS JACOB FULLENKAMP PT, DPT
1211 FAR HILLS AVE APT 207
OAKWOOD, OH 45419-3121
Phone number: 419-953-5920
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