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1700119070
LESLIE SWEET
FORT WAYNE, IN
NPI
1700119070
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32001690A)
Enumeration Date
2009-09-17
Last Update Date
2009-09-17
Business Address
MISS LESLIE SWEET COTA
2837 E DUPONT RD
FORT WAYNE, IN 46825-1668
Phone number: 260-497-0328
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Mailing Address
MISS LESLIE SWEET COTA
10637 SEILER RD APT 409
NEW HAVEN, IN 46774-9357
Phone number: 260-385-7484
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