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Case Number and Status

Case Number: I-200-17055-672313

Submitted on:

CERTIFIED

on:

Employment

From: 2017-08-15

To: 2020-08-15 (1,096 days)

Address

100 East Pettit Avenue
Fort Wayne, IN 46806

Phone

8479153019


Attorney Summary

Location
Austin, TX

Job Summary

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

Soc Code
29-1021.00
Naics Code
Industry Code
621210