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1861919821
TINA PEAKS
FORT WAYNE, IN
NPI
1861919821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IN 46003039A)
Enumeration Date
2017-08-29
Last Update Date
2017-08-29
Business Address
TINA PEAKS
9426 LIMA RD
FORT WAYNE, IN 46818-8680
Phone number: 260-497-0328
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Mailing Address
TINA PEAKS
9426 LIMA RD
FORT WAYNE, IN 46818-8680
Phone number:
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