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Case Number and Status

Case Number: I-200-16127-190090

Submitted on:

CERTIFIED

on:

Employment

From: 2016-07-15

To: 2019-07-14 (1,094 days)

Address

1007 Lincolnway
La Porte, IN 46350

Phone

2193255477


Attorney Summary

Location
New York, NY

Job Summary

Job Title
Physician
City and State
Knox, IN
County
Starke

Soc Code
29-1069.00
Naics Code
Industry Code
62211