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Individual

MR. JEFF DWAYNE PARIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
4956 ONSLOW CT, GREENWOOD, IN 46142-7507
(317) 887-0005
Mailing address
4956 ONSLOW CT, GREENWOOD, IN 46142-7507
(317) 887-0005

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06001258A
IN

Other

Enumeration date
12/23/2009
Last updated
12/23/2009
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