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1356932263
KIMBERLY SUE CONVERSE
FORT WAYNE, IN
NPI
1356932263
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IN 31000770A)
Enumeration Date
2021-02-02
Last Update Date
2021-02-02
Business Address
KIMBERLY SUE CONVERSE OT
2927 LAKE AVE
FORT WAYNE, IN 46805-5415
Phone number: 260-452-9985
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Mailing Address
KIMBERLY SUE CONVERSE OT
9515 CARINE CV
FORT WAYNE, IN 46835-9371
Phone number: 260-348-0270
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