TIFFANY KAISER MCBRIDE

FORT WAYNE, IN
NPI1154384907
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IN  36001198A)
Enumeration Date2006-04-11
Last Update Date2007-07-08
Business Address
MRS. TIFFANY KAISER MCBRIDE L-ATC
5050 N CLINTON ST
FORT WAYNE, IN 46825-5822
Phone number: 419-272-0012
Mailing Address
MRS. TIFFANY KAISER MCBRIDE L-ATC
11 212 STATE ROUTE 49
EDON, OH 43518
Phone number: 419-272-0012
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