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1134500655
DEMETRIA LYNETTE FLEMING
FORT WAYNE, IN
NPI
1134500655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IN 2000020821)
Enumeration Date
2015-06-10
Last Update Date
2015-06-10
Business Address
MS. DEMETRIA LYNETTE FLEMING ATC
8014 TACOMA PLACE
FORT WAYNE, IN 46835-9107
Phone number: 804-525-0212
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Mailing Address
MS. DEMETRIA LYNETTE FLEMING ATC
8014 TACOMA PL
FORT WAYNE, IN 46835-9107
Phone number: 804-525-0212
Copy
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