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1154583557
SHANYN LEAK
FORT WAYNE, IN
NPI
1154583557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2008-06-26
Last Update Date
2008-06-26
Business Address
-- SHANYN LEAK
808 MILL LAKE RD
FORT WAYNE, IN 46845-6400
Phone number: 260-338-1241
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Mailing Address
-- SHANYN LEAK
808 MILL LAKE RD
FORT WAYNE, IN 46845-6400
Phone number: 260-338-1241
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