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1013453927
NATHANIEL ACREE
FORT WAYNE, IN
NPI
1013453927
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36002817A)
Enumeration Date
2017-01-17
Last Update Date
2018-03-17
Business Address
NATHANIEL ACREE ATC, LAT
1600 E WASHINGTON BLVD
FORT WAYNE, IN 46803-1228
Phone number: 502-718-6603
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Mailing Address
NATHANIEL ACREE ATC, LAT
615 HUFFMAN ST
FORT WAYNE, IN 46808-3241
Phone number: 502-718-6603
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