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1699035907
SARA MICHELE FULLER
AVILLA, IN
NPI
1699035907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IN 31002824A)
Enumeration Date
2012-05-21
Last Update Date
2024-04-12
Business Address
Mrs. SARA MICHELE FULLER OTR
515 N MAIN ST
AVILLA, IN 46710-9601
Phone number: 260-897-2841
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Mailing Address
Mrs. SARA MICHELE FULLER OTR
6230 HATHAWAY RD
FORT WAYNE, IN 46818-9545
Phone number: 260-615-4437
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