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1518372028
ELIZABETH SHAW
FORT WAYNE, IN
NPI
1518372028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32002476A)
Enumeration Date
2014-06-23
Last Update Date
2014-06-23
Business Address
-- ELIZABETH SHAW
9426 LIMA RD
FORT WAYNE, IN 46818-8680
Phone number: 260-497-0328
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Mailing Address
-- ELIZABETH SHAW
9426 LIMA RD
FORT WAYNE, IN 46818-8680
Phone number:
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