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1992412852
ANDREW ROGER BAYAK
WAKARUSA, IN
NPI
1992412852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06001452A)
Enumeration Date
2022-10-31
Last Update Date
2022-10-31
Business Address
ANDREW ROGER BAYAK
300 N WASHINGTON ST
WAKARUSA, IN 46573-9590
Phone number: 574-862-4511
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Mailing Address
ANDREW ROGER BAYAK
11065 GOLDEN PHEASANT DR
OSCEOLA, IN 46561-8511
Phone number: 574-607-7473
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