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1598215857
HAFEEZAH CARTER
FORT WAYNE, IN
NPI
1598215857
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
(Licence: IN BC21013144)
Enumeration Date
2016-10-11
Last Update Date
2016-10-11
Business Address
HAFEEZAH CARTER
2810 MAPLECREST RD
FORT WAYNE, IN 46815-7016
Phone number: 260-797-9361
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Mailing Address
HAFEEZAH CARTER
2810 MAPLECREST RD
FORT WAYNE, IN 46815-7016
Phone number:
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