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1821117904
KOREN E SEAGO
FORT WAYNE, IN
NPI
1821117904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05009222A)
Enumeration Date
2007-03-28
Last Update Date
2015-04-02
Business Address
-- KOREN E SEAGO MS,PT
3840 NEW VISION DR
FORT WAYNE, IN 46845-1708
Phone number: 260-483-2422
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Mailing Address
-- KOREN E SEAGO MS,PT
14630 E WALNUT RUN
FORT WAYNE, IN 46814-8907
Phone number: 765-506-0745
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