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1104534999
LAURA CHENOWETH
SULLIVAN, IN
NPI
1104534999
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32000999A)
Enumeration Date
2022-11-09
Last Update Date
2022-11-09
Business Address
LAURA CHENOWETH
505 W WOLFE ST
SULLIVAN, IN 47882-9224
Phone number: 812-268-6361
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Mailing Address
LAURA CHENOWETH
80 JENKINS LN
SULLIVAN, IN 47882-7054
Phone number: 812-564-0111
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