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1598986671
ANGELA D STARK
FORT WAYNE, IN
NPI
1598986671
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: IN 22004128A)
Enumeration Date
2007-05-02
Last Update Date
2007-07-09
Business Address
ANGELA D STARK SLP
808 MILL LAKE RD
FORT WAYNE, IN 46845-6400
Phone number: 260-338-1241
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Mailing Address
ANGELA D STARK SLP
124 KLINGER ST
PLYMOUTH, IN 46563-1235
Phone number: 260-338-1241
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