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1609430891
ALEXANDRA FONTENOT
FORT WAYNE, IN
NPI
1609430891
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2019-04-24
Last Update Date
2019-04-24
Business Address
ALEXANDRA FONTENOT
9426 LIMA RD
FORT WAYNE, IN 46818-8680
Phone number: 260-497-0328
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Mailing Address
ALEXANDRA FONTENOT
9426 LIMA RD
FORT WAYNE, IN 46818-8680
Phone number:
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