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1710045240
MICKI ELAINE FRAZER
EVANSVILLE, IN
NPI
1710045240
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IN 31003317A)
Enumeration Date
2006-12-05
Last Update Date
2007-07-08
Business Address
-- MICKI ELAINE FRAZER OTR
150 N ROSENBERGER AVE
EVANSVILLE, IN 47712-6503
Phone number: 812-476-7000
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Mailing Address
-- MICKI ELAINE FRAZER OTR
PO BOX 6890
EVANSVILLE, IN 47719-0890
Phone number:
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