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1174721971
KGATALE SIKO MALATSE
FORT WAYNE, IN
NPI
1174721971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2007-07-03
Last Update Date
2007-07-08
Business Address
Mr. KGATALE SIKO MALATSE
3811 PARNELL AVE
FORT WAYNE, IN 46805-1409
Phone number: 260-482-4651
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Mailing Address
Mr. KGATALE SIKO MALATSE
6013 BELLE ISLE LN
FORT WAYNE, IN 46835-1263
Phone number: 260-492-6420
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