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1518585363
NEIL MANUEL SANTOS
FORT WAYNE, IN
NPI
1518585363
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 180.012394)
Enumeration Date
2020-07-08
Last Update Date
2020-07-08
Business Address
Mr. NEIL MANUEL SANTOS
2500 E STATE BLVD
FORT WAYNE, IN 46805-4728
Phone number: 260-426-5431
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Mailing Address
Mr. NEIL MANUEL SANTOS
2316 ABBEY DR APT 7
FORT WAYNE, IN 46835-3140
Phone number: 319-360-9750
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