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1134511009
DANIEL BERT COTTIN
FORT WAYNE, IN
NPI
1134511009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36002496)
Enumeration Date
2015-03-02
Last Update Date
2016-03-03
Business Address
-- DANIEL BERT COTTIN MS, LAT, ATC
11130 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845-1735
Phone number: 269-625-3434
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Mailing Address
-- DANIEL BERT COTTIN MS, LAT, ATC
312 S WEST ST
ANGOLA, IN 46703-1848
Phone number:
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