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1497527253
LANETTE L FRAVEL
FORT WAYNE, IN
NPI
1497527253
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0855X Clinic/Center, Adolescent and Children Mental Health
Enumeration Date
2023-10-25
Last Update Date
2023-10-25
Business Address
LANETTE L FRAVEL MA
6913 BLAKE DR
FORT WAYNE, IN 46804-1013
Phone number: 260-223-2942
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Mailing Address
LANETTE L FRAVEL MA
6913 BLAKE DR
FORT WAYNE, IN 46804-1013
Phone number: 260-223-2942
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