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1891994869
SUSAN BATES
PORTAGE, IN
NPI
1891994869
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32000314A)
Enumeration Date
2007-07-11
Last Update Date
2007-07-11
Business Address
-- SUSAN BATES
6040 LUTE RD
PORTAGE, IN 46368-5008
Phone number: 219-763-6858
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Mailing Address
-- SUSAN BATES
549 N 750W
HOBART, IN 46342
Phone number: 219-759-2287
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