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1033312319
MARY KATHLEEN FAULKNER
LAFAYETTE, IN
NPI
1033312319
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2007-06-06
Last Update Date
2007-07-08
Business Address
Miss MARY KATHLEEN FAULKNER
2204 N 22ND ST
LAFAYETTE, IN 47904-1511
Phone number: 765-490-2049
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Mailing Address
Miss MARY KATHLEEN FAULKNER
2204 N 22ND ST
LAFAYETTE, IN 47904-1511
Phone number: 765-490-2049
Copy
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