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1750114955
LISA REPAAL
FORT WAYNE, IN
NPI
1750114955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist School
(Licence: IN 1356579)
Enumeration Date
2024-08-22
Last Update Date
2024-08-22
Business Address
LISA REPAAL
13119 COLDWATER RD
FORT WAYNE, IN 46845-9631
Phone number: 317-777-7536
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Mailing Address
LISA REPAAL
13119 COLDWATER RD
FORT WAYNE, IN 46845-9631
Phone number: 260-637-3155
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