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1790154417
EDGEWATER SYSTERMS FOR BALANCED LIVING
GARY, IN
NPI
1790154417
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Entity Type
Organization
Authorized Contact
THOMAS MICHAEL BUCKNER
Therapist Ii
219-885-4264
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2015-09-23
Last Update Date
2015-09-23
Business Address
EDGEWATER SYSTERMS FOR BALANCED LIVING
1106 WEST 6 TH AVENUE
GARY, IN 46402
Phone number: 219-885-4264
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Mailing Address
EDGEWATER SYSTERMS FOR BALANCED LIVING
1106 WEST 6 TH AVENUE
GARY, IN 46402
Phone number: 219-885-4264
Copy
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