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1437356904
DAVID KEITH NINER
FORT WAYNE, IN
NPI
1437356904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: IN 22002728A)
Enumeration Date
2007-06-28
Last Update Date
2007-07-08
Business Address
MR. DAVID KEITH NINER SLP
2827 NORTHGATE BLVD
FORT WAYNE, IN 46835-2903
Phone number: 260-492-1400
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Mailing Address
MR. DAVID KEITH NINER SLP
3414 COPPER HILL RUN
FORT WAYNE, IN 46804
Phone number: 260-459-0636
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