JOSHUA SLAYTON

FORT WAYNE, IN
NPI1174912315
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36003210A)
Enumeration Date2015-01-12
Last Update Date2024-10-04
Business Address
JOSHUA SLAYTON LAT, ATC
3946 ICE WAY
FORT WAYNE, IN 46805-1018
Phone number: 616-795-8120
Mailing Address
JOSHUA SLAYTON LAT, ATC
3946 ICE WAY
FORT WAYNE, IN 46805-1018
Phone number: 616-795-8120
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