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1487823399
MARY M GRANT
FORT WAYNE, IN
NPI
1487823399
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IN 22000731A)
Enumeration Date
2008-02-25
Last Update Date
2008-02-25
Business Address
-- MARY M GRANT SLP
2837 E DUPONT RD
FORT WAYNE, IN 46825-1668
Phone number: 260-497-0328
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Mailing Address
-- MARY M GRANT SLP
2837 E DUPONT RD
FORT WAYNE, IN 46825-1668
Phone number: 260-497-0328
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