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1164635371
JESSICA R. SHOCKEY
LAFAYETTE, IN
NPI
1164635371
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2007-05-07
Last Update Date
2007-07-08
Business Address
-- JESSICA R. SHOCKEY
1000 N 6TH ST APT 3
LAFAYETTE, IN 47904-4033
Phone number: 765-414-8076
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Mailing Address
-- JESSICA R. SHOCKEY
1000 N 6TH ST APT 3
LAFAYETTE, IN 47904-4033
Phone number: 765-414-8076
Copy
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