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Case Number and Status

Case Number: I-200-17227-595714

Submitted on:

CERTIFIED

on:

Employment

From: 2017-10-01

To: 2020-09-30 (1,095 days)

Address

6604 Constitution Drive
Fort Wayne, IN 46804

Phone

Not Given


Job Summary

Job Title
Physician
City and State
Greenville, OH
County
Darke

Soc Code
29-1069.00
Naics Code
Industry Code
621111