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1821414020
MEGAN RUSS
FORT WAYNE, IN
NPI
1821414020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IN 22005870A)
Enumeration Date
2014-03-12
Last Update Date
2014-03-12
Business Address
-- MEGAN RUSS CCC, SLP
3320 N CLINTON ST
FORT WAYNE, IN 46805-1918
Phone number: 260-483-2100
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Mailing Address
-- MEGAN RUSS CCC, SLP
3320 N CLINTON ST
FORT WAYNE, IN 46805-1918
Phone number: 260-483-2100
Copy
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