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1407127731
CYNTHIA UDRIS
FORT WAYNE, IN
NPI
1407127731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32001898A)
Enumeration Date
2012-01-18
Last Update Date
2012-01-18
Business Address
Ms. CYNTHIA UDRIS COTA
2837 E DUPONT RD
FORT WAYNE, IN 46825-1668
Phone number: 260-497-0328
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Mailing Address
Ms. CYNTHIA UDRIS COTA
2623 LADUE CV
FORT WAYNE, IN 46804-2744
Phone number: 260-497-0328
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