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1861165821
ASHLEY E MADAK
FORT WAYNE, IN
NPI
1861165821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IN RBT-19-84586)
Enumeration Date
2021-07-27
Last Update Date
2021-07-27
Business Address
ASHLEY E MADAK
201 E RUDISILL BLVD STE B100
FORT WAYNE, IN 46806-1738
Phone number: 260-255-3665
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Mailing Address
ASHLEY E MADAK
201 E RUDISILL BLVD STE B100
FORT WAYNE, IN 46806-1738
Phone number: 260-255-3665
Copy
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