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1912117136
MARY SUSAN TRIBOLET
FORT WAYNE, IN
NPI
1912117136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05002115A)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
MARY SUSAN TRIBOLET P.T.
14101 PUFF RD
FORT WAYNE, IN 46845-9296
Phone number: 260-437-5324
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Mailing Address
MARY SUSAN TRIBOLET P.T.
14101 PUFF RD
FORT WAYNE, IN 46845-9296
Phone number: 260-437-5324
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