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1013425529
ZACHARY DAVID BROWN
FORT WAYNE, IN
NPI
1013425529
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-01-18
Last Update Date
2018-01-18
Business Address
ZACHARY DAVID BROWN ATC
3946 ICE WAY
FORT WAYNE, IN 46805-1018
Phone number: 636-290-1136
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Mailing Address
ZACHARY DAVID BROWN ATC
2907 CANTERBURY BLVD APT 5
FORT WAYNE, IN 46835-3238
Phone number: 636-290-1136
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