ISAAC CHANG

LAFAYETTE, IN
NPI1124511290
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36002983A)
Enumeration Date2018-06-12
Last Update Date2018-06-12
Business Address
ISAAC CHANG ATC, LAT
3074 PHEASANT RUN DR APT 1122
LAFAYETTE, IN 47909-3335
Phone number: 347-500-7290
Mailing Address
ISAAC CHANG ATC, LAT
3074 PHEASANT RUN DR APT 1122
LAFAYETTE, IN 47909-3335
Phone number: 347-500-7290
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