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1457746893
GRACE LENCKE
FORT WAYNE, IN
NPI
1457746893
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06004276A)
Enumeration Date
2015-04-02
Last Update Date
2015-04-02
Business Address
GRACE LENCKE PTA
1717 MAPLECREST RD
FORT WAYNE, IN 46815-7656
Phone number: 877-712-7869
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Mailing Address
GRACE LENCKE PTA
5308 RENFREW DR
FORT WAYNE, IN 46835-1137
Phone number:
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