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1154168151
CALISTA GUADALUPE ANDRADE
CROWN POINT, IN
NPI
1154168151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2024-07-09
Last Update Date
2024-07-09
Business Address
CALISTA GUADALUPE ANDRADE COTA/L
11496 BROADWAY
CROWN POINT, IN 46307-7106
Phone number: 219-213-2222
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Mailing Address
CALISTA GUADALUPE ANDRADE COTA/L
11496 BROADWAY
CROWN POINT, IN 46307-7106
Phone number: 219-213-2222
Copy
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