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Case Number and Status

Case Number: I-200-16040-615985

Submitted on:

CERTIFIED

on:

Employment

From: 2016-07-01

To: 2019-06-30 (1,094 days)

Address

710 N. Niles Avenue
South Bend, IN 46617

Phone

5746471836


Attorney Summary

Location
San Diego, CA

Job Summary

Job Title
Pediatrician
City and State
Granger, IN
County
St. Joseph

Soc Code
29-1065.00
Naics Code
Industry Code
622110