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1558645945
DAWN BURNSIDE
VALPARAISO, IN
NPI
1558645945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IN 46002247a)
Enumeration Date
2011-10-04
Last Update Date
2011-10-04
Business Address
-- DAWN BURNSIDE SLP
332 W 806 N
VALPARAISO, IN 46385-7973
Phone number: 219-764-4888
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Mailing Address
-- DAWN BURNSIDE SLP
PO BOX 2385
PORTAGE, IN 46368-5885
Phone number: 219-764-4888
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