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1699094110
CHRISTINA RENAE MARTIN
FORT WAYNE, IN
NPI
1699094110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32001523A)
Enumeration Date
2010-05-24
Last Update Date
2010-05-24
Business Address
Miss CHRISTINA RENAE MARTIN COTA
2940 N CLINTON ST
FORT WAYNE, IN 46805-1910
Phone number: 260-484-4304
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Mailing Address
Miss CHRISTINA RENAE MARTIN COTA
2940 N CLINTON ST
FORT WAYNE, IN 46805-1910
Phone number: 260-484-4304
Copy
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