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1114401080
ROBIN GENE VANDEVENTER
FORT WAYNE, IN
NPI
1114401080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: IN 88000671A)
Enumeration Date
2018-09-18
Last Update Date
2018-09-18
Business Address
ROBIN GENE VANDEVENTER
2200 LAKE AVE STE 225
FORT WAYNE, IN 46805-5364
Phone number: 260-436-0932
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Mailing Address
ROBIN GENE VANDEVENTER
240 N TILLOTSON AVE
MUNCIE, IN 47304-3988
Phone number: 765-288-1928
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