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1104199207
SANDRA KAY VANCE
FORT WAYNE, IN
NPI
1104199207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IN 31000141A)
Enumeration Date
2012-02-21
Last Update Date
2012-02-21
Business Address
-- SANDRA KAY VANCE
3320 N CLINTON ST
FORT WAYNE, IN 46805-1918
Phone number: 260-483-2100
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Mailing Address
-- SANDRA KAY VANCE
3320 N CLINTON ST
FORT WAYNE, IN 46805-1918
Phone number: 260-483-2100
Copy
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