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1861854184
IRIS VANCE
MISHAWAKA, IN
NPI
1861854184
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Former Name
IRIS RUBAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05012029A)
Enumeration Date
2016-03-25
Last Update Date
2016-03-25
Business Address
-- IRIS VANCE PT
221 W DAY RD
MISHAWAKA, IN 46545-1401
Phone number: 547-256-9420
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Mailing Address
-- IRIS VANCE PT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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