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1194157347
KATHRYN YVETTE MCCORMICK
FORT WAYNE, IN
NPI
1194157347
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32001856A)
Enumeration Date
2013-07-30
Last Update Date
2013-07-30
Business Address
Ms. KATHRYN YVETTE MCCORMICK COTA
4835 FAIRFIELD AVE
FORT WAYNE, IN 46807-3273
Phone number: 260-515-1341
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Mailing Address
Ms. KATHRYN YVETTE MCCORMICK COTA
4835 FAIRFIELD AVE
FORT WAYNE, IN 46807-3273
Phone number: 260-515-1341
Copy
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