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1609102656
LYNDA FOURMAN
GOSHEN, IN
NPI
1609102656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-10-27
Last Update Date
2009-10-27
Business Address
-- LYNDA FOURMAN CADAC IV
330 LAKEVIEW DR
GOSHEN, IN 46528-9365
Phone number: 574-533-1234
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Mailing Address
-- LYNDA FOURMAN CADAC IV
PO BOX 809
GOSHEN, IN 46527-0809
Phone number: 574-533-1234
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