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1821411331
COLLEEN MCCRACKEN
FORT WAYNE, IN
NPI
1821411331
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05010922A)
Enumeration Date
2014-02-04
Last Update Date
2014-02-04
Business Address
-- COLLEEN MCCRACKEN DPT
3898 NEW VISION DR BLDG 13, SUITE D
FORT WAYNE, IN 46845-1718
Phone number: 260-483-1010
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Mailing Address
-- COLLEEN MCCRACKEN DPT
1912 STONERS MILL DR
HUNTERTOWN, IN 46748-9313
Phone number:
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