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1962008615
CHARLES COLLINS
FORT WAYNE, IN
NPI
1962008615
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: IN MT22007188)
Enumeration Date
2020-12-08
Last Update Date
2020-12-08
Business Address
CHARLES COLLINS LMT
4606 W JEFFERSON BLVD
FORT WAYNE, IN 46804-6826
Phone number: 260-459-1111
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Mailing Address
CHARLES COLLINS LMT
4606 W JEFFERSON BLVD
FORT WAYNE, IN 46804-6826
Phone number: 260-459-1111
Copy
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