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1447872197
MACKENNA LEE VANDERTUIN
DEMOTTE, IN
NPI
1447872197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2020-05-15
Last Update Date
2020-05-15
Business Address
MACKENNA LEE VANDERTUIN
400 11TH CIRCLE SE
DEMOTTE, IN 46310
Phone number: 219-742-7641
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Mailing Address
MACKENNA LEE VANDERTUIN
400 11TH CIRCLE SE
DEMOTTE, IN 46310
Phone number: 219-742-7641
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