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1154884898
MONIQUE BRISSETTE
FORT WAYNE, IN
NPI
1154884898
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IN 46003495A)
Enumeration Date
2019-04-10
Last Update Date
2019-04-10
Business Address
MONIQUE BRISSETTE
2200 RANDALLIA DR
FORT WAYNE, IN 46805-4638
Phone number: 260-373-3202
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Mailing Address
MONIQUE BRISSETTE
2200 RANDALLIA DR
FORT WAYNE, IN 46805-4638
Phone number: 260-373-3202
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