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1013723212
FAITH NICOLE BLAIR
FORT WAYNE, IN
NPI
1013723212
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-12-04
Last Update Date
2024-12-04
Business Address
FAITH NICOLE BLAIR
201 E RUDISILL BLVD # B100
FORT WAYNE, IN 46806-1738
Phone number: 260-255-3665
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Mailing Address
FAITH NICOLE BLAIR
4684 E STATE ROAD 201
BLUFFTON, IN 46714-9313
Phone number: 260-438-5470
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