MITCHELL LEE ANDERSON

FORT WAYNE, IN
NPI1134647407
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2017-09-06
Last Update Date2024-12-05
Business Address
MITCHELL LEE ANDERSON
3946 ICE WAY
FORT WAYNE, IN 46805-1018
Phone number: 319-693-9912
Mailing Address
MITCHELL LEE ANDERSON
3946 ICE WAY
FORT WAYNE, IN 46805-1018
Phone number: 319-693-9912
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