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1003324583
LORI COLEMAN
FORT WAYNE, IN
NPI
1003324583
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32001544A)
Enumeration Date
2018-01-18
Last Update Date
2018-01-18
Business Address
LORI COLEMAN
1400 MEDICAL PARK DR
FORT WAYNE, IN 46825-5832
Phone number: 260-484-1558
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Mailing Address
LORI COLEMAN
1716 DUNDEE DR
NEW HAVEN, IN 46774-2220
Phone number:
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