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1861031510
BRISTOL AUBURN WITTE
FORT WAYNE, IN
NPI
1861031510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: IN MT21806580)
Enumeration Date
2019-12-29
Last Update Date
2019-12-29
Business Address
BRISTOL AUBURN WITTE LMT, CCH
3215 N ANTHONY BLVD STE D
FORT WAYNE, IN 46805-2259
Phone number: 260-704-2323
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Mailing Address
BRISTOL AUBURN WITTE LMT, CCH
6457 FLUTTER RD
FORT WAYNE, IN 46835-9720
Phone number: 260-704-2323
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