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1003666470
AEDEN J LIGON
FORT WAYNE, IN
NPI
1003666470
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207PS0010X Emergency Medicine, Sports Medicine
(Licence: IN 36003793A)
Enumeration Date
2024-03-26
Last Update Date
2024-03-26
Business Address
AEDEN J LIGON
9216 CRYSTAL SPRING DR
FORT WAYNE, IN 46804-6510
Phone number: 765-480-9828
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Mailing Address
AEDEN J LIGON
9216 CRYSTAL SPRING DR
FORT WAYNE, IN 46804-6510
Phone number: 765-480-9828
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