MELANIE JANE SHANKS

FORT WAYNE, IN
NPI1619317062
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy273Y00000X Rehabilitation Unit
(Licence: IN  32002236A)
Enumeration Date2013-06-30
Last Update Date2013-06-30
Business Address
-- MELANIE JANE SHANKS COTA
4523 FAIRLAWN PASS
FORT WAYNE, IN 46815-6039
Phone number: 765-618-3464
Mailing Address
-- MELANIE JANE SHANKS COTA
4523 FAIRLAWN PASS
FORT WAYNE, IN 46815-6039
Phone number: 765-618-3464
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