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1063639052
REBECCA L FORD
FORT WAYNE, IN
NPI
1063639052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IN 22000966A)
Enumeration Date
2007-04-19
Last Update Date
2007-07-08
Business Address
Mrs. REBECCA L FORD
10806 E ROSEWOOD CIR
FORT WAYNE, IN 46845-1144
Phone number: 260-402-3359
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Mailing Address
Mrs. REBECCA L FORD
10806 E ROSEWOOD CIR
FORT WAYNE, IN 46845-1144
Phone number: 260-402-3359
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