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1134594179
LYNNETTE LATRICE PICKETT
FORT WAYNE, IN
NPI
1134594179
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Former Name
LYNNETTE LATRICE AYERS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32001668A)
Enumeration Date
2015-12-02
Last Update Date
2015-12-02
Business Address
Mrs. LYNNETTE LATRICE PICKETT
4419 MARQUETTE DR
FORT WAYNE, IN 46806-4623
Phone number: 260-580-4954
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Mailing Address
Mrs. LYNNETTE LATRICE PICKETT
4419 MARQUETTE DR
FORT WAYNE, IN 46806-4623
Phone number: 260-580-4954
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