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1174913230
GRACE WEBSTER
FORT WAYNE, IN
NPI
1174913230
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06004844A)
Enumeration Date
2015-01-28
Last Update Date
2018-10-03
Business Address
GRACE WEBSTER
4935 HILLEGAS RD
FORT WAYNE, IN 46818-1934
Phone number: 260-338-1241
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Mailing Address
GRACE WEBSTER
PO BOX 80867
FORT WAYNE, IN 46898-0867
Phone number:
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