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1083753099
EDGAR D PRATER
MERRILLVILLE, IN
NPI
1083753099
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32000255A)
Enumeration Date
2007-02-06
Last Update Date
2007-07-08
Business Address
-- EDGAR D PRATER
501 W 84TH DR STE 1
MERRILLVILLE, IN 46410-7013
Phone number: 219-756-4695
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Mailing Address
-- EDGAR D PRATER
501 W 84TH DRIVE, SUITE A
MERRILLVILLE, IN 46410
Phone number: 219-756-4695
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