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1104245695
FATEMA LYNN CISCHKE
SOUTH BEND, IN
NPI
1104245695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32001532A)
Enumeration Date
2014-04-10
Last Update Date
2014-04-10
Business Address
MRS. FATEMA LYNN CISCHKE COTA
1950 RIDGEDALE RD
SOUTH BEND, IN 46614-2243
Phone number: 574-291-6722
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Mailing Address
MRS. FATEMA LYNN CISCHKE COTA
55196 HOLMES RD
SOUTH BEND, IN 46628-4912
Phone number: 574-310-9198
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