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1104312685
TRACY RAY
FORT WAYNE, IN
NPI
1104312685
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IN 22002923A)
Enumeration Date
2018-07-08
Last Update Date
2018-07-08
Business Address
TRACY RAY
9426 LIMA RD
FORT WAYNE, IN 46818
Phone number: 260-497-0328
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Mailing Address
TRACY RAY
9426 LIMA RD
FORT WAYNE, IN 46818-8680
Phone number:
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