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1285397356
ANGELA MARIE GILLIS
SOUTH BEND, IN
NPI
1285397356
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: IN 22007156A)
Enumeration Date
2021-10-15
Last Update Date
2021-10-15
Business Address
ANGELA MARIE GILLIS M.S. CCC-SLP
17434 STATE ROAD 23 STE 205
SOUTH BEND, IN 46635-1743
Phone number: 574-742-1114
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Mailing Address
ANGELA MARIE GILLIS M.S. CCC-SLP
17434 STATE ROAD 23 STE 205
SOUTH BEND, IN 46635-1743
Phone number: 574-742-1114
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