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1265034706
MARIA NIKOLOVA DISHEVA
BLOOMINGTON, IN
NPI
1265034706
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IN 22007613A)
Enumeration Date
2020-11-10
Last Update Date
2020-11-10
Business Address
MARIA NIKOLOVA DISHEVA
2010 S YOST AVE
BLOOMINGTON, IN 47403-3188
Phone number: 812-822-0605
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Mailing Address
MARIA NIKOLOVA DISHEVA
3814 E REGENTS CIR
BLOOMINGTON, IN 47401-7131
Phone number: 808-979-5502
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