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Case Number and Status

Case Number: I-200-16068-560372

Submitted on:

CERTIFIED

on:

Employment

From: 2016-09-07

To: 2019-09-06 (1,094 days)

Address

4512 Parnell Avenue
Fort Wayne, IN 46825

Phone

3096612999


Attorney Summary

Location
Columbia, MD

Job Summary

Job Title
Associate Dentist
City and State
Fort Wayne, IN
County
Allen

Soc Code
29-1021.00
Naics Code
Industry Code
621210