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1427702042
MONTERA HEALTH INDIANA LLC
FORT WAYNE, IN
NPI
1427702042
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Entity Type
Organization
Authorized Contact
QINGQING MAO
Admin
415-805-1725
Organization Subpart ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2022-02-11
Last Update Date
2024-01-31
Business Address
MONTERA HEALTH INDIANA LLC
5534 SAINT JOE RD
FORT WAYNE, IN 46835-3328
Phone number: 865-680-1516
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Mailing Address
MONTERA HEALTH INDIANA LLC
5534 SAINT JOE RD
FORT WAYNE, IN 46835-3328
Phone number: 865-680-1516
Copy
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