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1134523822
TED EVANS
MARION, IN
NPI
1134523822
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 212353)
Enumeration Date
2014-10-09
Last Update Date
2014-10-09
Business Address
-- TED EVANS
4131 N CONNER DR
MARION, IN 46952-9305
Phone number: 765-661-1415
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Mailing Address
-- TED EVANS
4131 N CONNER DR
MARION, IN 46952-9305
Phone number: 765-661-1415
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