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1629585898
DIANNA SANTOS BALAN
CHESTERTON, IN
NPI
1629585898
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: IN 46003075A)
Enumeration Date
2018-01-09
Last Update Date
2018-01-09
Business Address
MS. DIANNA SANTOS BALAN
1595 S CALUMET RD STE 3
CHESTERTON, IN 46304-2389
Phone number: 219-764-4888
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Mailing Address
MS. DIANNA SANTOS BALAN
PO BOX 2385
PORTAGE, IN 46368-5885
Phone number: 219-764-4888
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