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1912201369
PERCY BOMAN TALATI
FORT WAYNE, IN
NPI
1912201369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05000365A)
Enumeration Date
2010-12-28
Last Update Date
2010-12-28
Business Address
-- PERCY BOMAN TALATI RPT
2118 INWOOD DR STE 102
FORT WAYNE, IN 46815-7101
Phone number: 260-483-9081
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Mailing Address
-- PERCY BOMAN TALATI RPT
2118 INWOOD DR STE 102
FORT WAYNE, IN 46815-7124
Phone number: 260-483-9081
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