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1164988317
XAVIER S QADAR
FORT WAYNE, IN
NPI
1164988317
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TB0200X Psychologist, Cognitive & Behavioral
Enumeration Date
2019-02-13
Last Update Date
2019-02-13
Business Address
Mr. XAVIER S QADAR MS
205 THREE RIVERS N
FORT WAYNE, IN 46802-1301
Phone number: 260-760-8877
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Mailing Address
Mr. XAVIER S QADAR MS
PO BOX 50190
FORT WAYNE, IN 46805-0190
Phone number: 260-760-8877
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