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1124503651
SUSAN KIRK
FORT WAYNE, IN
NPI
1124503651
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2018-10-01
Last Update Date
2018-10-01
Business Address
SUSAN KIRK
4935 HILLEGAS RD STE 200
FORT WAYNE, IN 46818-1934
Phone number: 260-338-1241
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Mailing Address
SUSAN KIRK
4935 HILLEGAS RD STE 200
FORT WAYNE, IN 46818-1934
Phone number: 260-338-1241
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