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1992364517
BETHANY FENKER
FORT WAYNE, IN
NPI
1992364517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IN 22007200A)
Enumeration Date
2019-06-07
Last Update Date
2019-06-07
Business Address
BETHANY FENKER ST
3948 NEW VISION DR STE D
FORT WAYNE, IN 46845-1721
Phone number: 260-245-1455
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Mailing Address
BETHANY FENKER ST
6060 N COLLEGE AVE
INDIANAPOLIS, IN 46220-1907
Phone number: 317-584-5166
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