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1417431362
ERICA COOPER
FORT WAYNE, IN
NPI
1417431362
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2018-09-17
Last Update Date
2018-09-17
Business Address
ERICA COOPER
4935 HILLEGAS RD STE 200
FORT WAYNE, IN 46818-1934
Phone number: 260-338-1241
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Mailing Address
ERICA COOPER
4935 HILLEGAS RD STE 200
FORT WAYNE, IN 46818-1934
Phone number: 260-338-1241
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