GWEN RENE TAYLOR

FORT WAYNE, IN
NPI1295097848
Former NameGWEN RENE CLEVENGER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32002140A)
Enumeration Date2012-06-11
Last Update Date2012-06-11
Business Address
-- GWEN RENE TAYLOR COTA
803 HUFFMAN ST
FORT WAYNE, IN 46808-3245
Phone number: 260-424-3540
Mailing Address
-- GWEN RENE TAYLOR COTA
803 HUFFMAN ST
FORT WAYNE, IN 46808-3245
Phone number: 260-424-3540
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