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Individual

DAWSON DREWERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2821 HILLEGAS RD, FORT WAYNE, IN 46808-3859
(260) 338-1241
Mailing address
4935 HILLEGAS RD, FORT WAYNE, IN 46818-1906
(260) 388-1241

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
09/23/2025
Last updated
09/23/2025
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