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1093365355
SUSAN HATHAWAY
PORTLAND, IN
NPI
1093365355
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2019-09-18
Last Update Date
2019-09-18
Business Address
SUSAN HATHAWAY
3783 WEST 800 SOUTH
PORTLAND, IN 47371
Phone number: 260-729-1153
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Mailing Address
SUSAN HATHAWAY
P.O. BOX 24
PORTLAND, IN 47371
Phone number:
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