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1083300917
JENNIFER VANDERVATE
LAFAYETTE, IN
NPI
1083300917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
237700000X Hearing Instrument Specialist
(Licence: IN 17001595A)
Enumeration Date
2023-04-13
Last Update Date
2023-04-13
Business Address
JENNIFER VANDERVATE HIS
2825 ELMWOOD AVE
LAFAYETTE, IN 47904-1701
Phone number: 765-447-0131
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Mailing Address
JENNIFER VANDERVATE HIS
1948 TANGLEWOOD DR
LAFAYETTE, IN 47905-4183
Phone number: 765-586-0817
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