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Case Number and Status

Case Number: I-200-15063-531431

Submitted on:

DENIED

on:

Employment

From: 2015-06-01

To: 2018-06-01 (1,096 days)

Address

10343 Dawson's Creek Blvd., Suite A
Fort Wayne, IN 46825

Phone

2602039600


Attorney Summary

Location
Fort Wayne, IN

Job Summary

Job Title
Physician
City and State
Fort Wayne, IN
County
Allen

Soc Code
29-1069.00
Naics Code
Industry Code
6221