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1699400614
SANDRA SMITH
FORT WAYNE, IN
NPI
1699400614
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IN 31002383A)
Enumeration Date
2022-07-22
Last Update Date
2022-07-22
Business Address
SANDRA SMITH
2626 SAINT JOE CENTER RD
FORT WAYNE, IN 46825-5042
Phone number: 260-497-0328
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Mailing Address
SANDRA SMITH
2626 SAINT JOE CENTER RD
FORT WAYNE, IN 46825-5042
Phone number: 260-497-0328
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