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1053099507
CHAITALI H MINAMA
FORT WAYNE, IN
NPI
1053099507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IN 12014194A)
Additional Taxonomies
122300000X Dentist
(Licence: NV 8017)
Enumeration Date
2023-07-06
Last Update Date
2024-06-12
Business Address
CHAITALI H MINAMA
4512 PARNELL AVE
FORT WAYNE, IN 46825-5836
Phone number: 260-238-8899
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Mailing Address
CHAITALI H MINAMA
8777 PURDUE RD STE 115
INDIANAPOLIS, IN 46268-3104
Phone number: 219-234-2345
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