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1407295413
MUKHABBAT YUSUPOVA
FORT WAYNE, IN
NPI
1407295413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-06-24
Last Update Date
2013-06-24
Business Address
-- MUKHABBAT YUSUPOVA MA
2100 GOSHEN RD
FORT WAYNE, IN 46808-1493
Phone number: 260-471-3500
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Mailing Address
-- MUKHABBAT YUSUPOVA MA
850 N HARRISON ST ATTN: ANNE LAWSON
WARSAW, IN 46580-3163
Phone number: 574-267-7169
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