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1912394073
BROCK H. HAUT
SOUTH BEND, IN
NPI
1912394073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05008296A)
Enumeration Date
2015-04-16
Last Update Date
2021-03-30
Business Address
BROCK H. HAUT DPT
1815 E IRELAND RD STE 100
SOUTH BEND, IN 46614-2845
Phone number: 574-647-5790
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Mailing Address
BROCK H. HAUT DPT
710 N NILES AVE
SOUTH BEND, IN 46617-1924
Phone number: 574-647-1610
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