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1760102909
VANESSA TRINA BRAVO
CHESTERTON, IN
NPI
1760102909
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: IN 22006848A)
Enumeration Date
2022-08-29
Last Update Date
2022-08-29
Business Address
VANESSA TRINA BRAVO CCC-SLP
383 KINGSMILL DR
CHESTERTON, IN 46304-2266
Phone number: 219-798-2655
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Mailing Address
VANESSA TRINA BRAVO CCC-SLP
383 KINGSMILL DR
CHESTERTON, IN 46304-2266
Phone number: 219-798-2655
Copy
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