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1992174098
JUSTIN EUTSLER
FORT WAYNE, IN
NPI
1992174098
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32002131A)
Enumeration Date
2015-09-18
Last Update Date
2015-09-18
Business Address
-- JUSTIN EUTSLER COTA
4814 W WALLEN RD
FORT WAYNE, IN 46818-9407
Phone number: 260-609-3753
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Mailing Address
-- JUSTIN EUTSLER COTA
4814 W WALLEN RD
FORT WAYNE, IN 46818-9407
Phone number:
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