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1942657226
JUSTIN GROGG
FORT WAYNE, IN
NPI
1942657226
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05011286A)
Enumeration Date
2016-05-17
Last Update Date
2021-01-15
Business Address
JUSTIN GROGG
11143 PARKVIEW PLAZA DR STE 100
FORT WAYNE, IN 46845-1728
Phone number: 260-266-7400
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Mailing Address
JUSTIN GROGG
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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