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1790046456
EDMUND JOSEPH GERVAIS
FORT WAYNE, IN
NPI
1790046456
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2012-05-30
Last Update Date
2012-05-30
Business Address
Mr. EDMUND JOSEPH GERVAIS DPT
5050 N CLINTON ST
FORT WAYNE, IN 46825-5886
Phone number: 260-484-8551
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Mailing Address
Mr. EDMUND JOSEPH GERVAIS DPT
5050 N CLINTON ST
FORT WAYNE, IN 46825-5886
Phone number: 260-484-8551
Copy
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