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1720117393
JULIE A CARRICO
FORT WAYNE, IN
NPI
1720117393
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IN 22002985)
Enumeration Date
2007-03-02
Last Update Date
2007-07-08
Business Address
-- JULIE A CARRICO SLP
7307 RIDGE KNOLL DR
FORT WAYNE, IN 46804-1419
Phone number: 260-432-4033
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Mailing Address
-- JULIE A CARRICO SLP
7307 RIDGE KNOLL DR
FORT WAYNE, IN 46804-1419
Phone number: 260-432-4033
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