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1912686189
JULI JO SMALL
FORT WAYNE, IN
NPI
1912686189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IN 22007150A)
Enumeration Date
2023-07-14
Last Update Date
2023-07-14
Business Address
-- JULI JO SMALL CCC-SLP
4935 HILLEGAS RD STE 200
FORT WAYNE, IN 46818-1943
Phone number: 260-338-1241
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Mailing Address
-- JULI JO SMALL CCC-SLP
POSSIBILITIES NORTHEAST, LLC 4935 HILLEGAS ROAD, SUITE 200
FORT WAYNE, IN 46818
Phone number: 260-338-1241
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