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1861589327
GAYLE Y IWAMASA
LAFAYETTE, IN
NPI
1861589327
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IN 20040904A)
Enumeration Date
2006-10-06
Last Update Date
2007-07-08
Business Address
-- GAYLE Y IWAMASA Ph.D., HSPP
1415 SALEM ST SUITE 102
LAFAYETTE, IN 47904-4100
Phone number: 765-742-1816
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Mailing Address
-- GAYLE Y IWAMASA Ph.D., HSPP
6991 E 375 S
LAFAYETTE, IN 47905-9461
Phone number: 765-742-1826
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