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1306169925
PAMELA JEAN GIELOW
FORT WAYNE, IN
NPI
1306169925
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32001567A)
Enumeration Date
2010-03-10
Last Update Date
2010-03-10
Business Address
Mrs. PAMELA JEAN GIELOW COTA
2940 N CLINTON ST
FORT WAYNE, IN 46805-1910
Phone number: 260-484-0602
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Mailing Address
Mrs. PAMELA JEAN GIELOW COTA
2631 COVINGTON WOODS BLVD
FORT WAYNE, IN 46804-7759
Phone number: 260-436-7310
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