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1881886521
LISA MARIE JONGKIND
LA PORTE, IN
NPI
1881886521
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05005035A)
Enumeration Date
2007-08-16
Last Update Date
2007-08-16
Business Address
-- LISA MARIE JONGKIND MSPT
1007 LINCOLNWAY
LA PORTE, IN 46350-3201
Phone number: 219-326-2391
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Mailing Address
-- LISA MARIE JONGKIND MSPT
1007 LINCOLNWAY
LA PORTE, IN 46350-3201
Phone number: 219-324-9214
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