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1265596241
VICTORIA JEAN MABANTA
INDIANAPOLIS, IN
NPI
1265596241
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Former Name
VICTORIA JEAN DELANEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: IN 31002307A)
Enumeration Date
2006-12-21
Last Update Date
2007-07-09
Business Address
-- VICTORIA JEAN MABANTA OT
6011 E HANNA AVE STE M
INDIANAPOLIS, IN 46203-7115
Phone number: 317-787-3375
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Mailing Address
-- VICTORIA JEAN MABANTA OT
1207 MORNINGSIDE DR
LEBANON, IN 46052-1963
Phone number: 765-482-6997
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