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1154384907
TIFFANY KAISER MCBRIDE
FORT WAYNE, IN
NPI
1154384907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36001198A)
Enumeration Date
2006-04-11
Last Update Date
2007-07-08
Business Address
Mrs. TIFFANY KAISER MCBRIDE L-ATC
5050 N CLINTON ST
FORT WAYNE, IN 46825-5822
Phone number: 419-272-0012
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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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