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1841769270
BRIAN BERNARD CONAWAY
FORT WAYNE, IN
NPI
1841769270
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IN 31001037A)
Enumeration Date
2018-11-14
Last Update Date
2020-07-02
Business Address
BRIAN BERNARD CONAWAY OTR
7125 S HANNA ST
FORT WAYNE, IN 46816
Phone number: 260-668-1691
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Mailing Address
BRIAN BERNARD CONAWAY OTR
3113 PINOAK CT
FORT WAYNE, IN 46814-8911
Phone number: 260-668-1691
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