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1134646086
TIFFANY JACQUELINE SALAS
FORT WAYNE, IN
NPI
1134646086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32002301A)
Enumeration Date
2017-08-22
Last Update Date
2017-08-22
Business Address
TIFFANY JACQUELINE SALAS Cota
10445 DUPONT OAKS BLVD
FORT WAYNE, IN 46845-8792
Phone number: 260-205-8584
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Mailing Address
TIFFANY JACQUELINE SALAS Cota
10445 DUPONT OAKS BLVD
FORT WAYNE, IN 46845-8792
Phone number:
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