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1194931493
GUY TATAY
MISHAWAKA, IN
NPI
1194931493
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2007-05-15
Last Update Date
2007-07-09
Business Address
-- GUY TATAY MS
113 LINCOLN WAY E
MISHAWAKA, IN 46544-2016
Phone number: 574-255-4976
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Mailing Address
-- GUY TATAY MS
113 LINCOLN WAY E
MISHAWAKA, IN 46544-2016
Phone number: 574-255-4976
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