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1063632081
MISTYLEE B TAYLOR
FORT WAYNE, IN
NPI
1063632081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IN 22004150A)
Enumeration Date
2007-05-01
Last Update Date
2007-07-09
Business Address
-- MISTYLEE B TAYLOR SLP
808 MILL LAKE RD
FORT WAYNE, IN 46845-6400
Phone number: 260-338-1241
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Mailing Address
-- MISTYLEE B TAYLOR SLP
216 KITTRIDGE LN
FORT WAYNE, IN 46845-9576
Phone number: 260-338-1241
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