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1861537425
JULIA KETCHAM
FORT WAYNE, IN
NPI
1861537425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IN 22000296A)
Enumeration Date
2007-02-21
Last Update Date
2007-07-08
Business Address
-- JULIA KETCHAM SLP
3320 N CLINTON ST
FORT WAYNE, IN 46805-1918
Phone number: 260-483-2100
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Mailing Address
-- JULIA KETCHAM SLP
8442 CERCO CT
FORT WAYNE, IN 46815-5713
Phone number: 260-485-4672
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