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1518737873
MINDY M LAKE
FORT WAYNE, IN
NPI
1518737873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2024-01-08
Last Update Date
2024-01-08
Business Address
MINDY M LAKE
4935 HILLEGAS RD STE 200
FORT WAYNE, IN 46818-1943
Phone number: 260-338-1241
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Mailing Address
MINDY M LAKE
4935 HILLEGAS RD STE 200
FORT WAYNE, IN 46818-1943
Phone number: 260-338-1241
Copy
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