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1902003957
LORI A FLESVIG
PORTAGE, IN
NPI
1902003957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06001475A)
Enumeration Date
2007-07-02
Last Update Date
2007-07-08
Business Address
-- LORI A FLESVIG PTA
6040 LUTE RD
PORTAGE, IN 46368-5008
Phone number: 219-763-6858
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Mailing Address
-- LORI A FLESVIG PTA
1102 COUNTRY CLUB DR
CROWN POINT, IN 46307
Phone number: 219-765-2596
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