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1174912315
JOSHUA SLAYTON
FORT WAYNE, IN
NPI
1174912315
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IN 36003210A)
Enumeration Date
2015-01-12
Last Update Date
2024-10-04
Business Address
JOSHUA SLAYTON LAT, ATC
3946 ICE WAY
FORT WAYNE, IN 46805-1018
Phone number: 616-795-8120
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Mailing Address
JOSHUA SLAYTON LAT, ATC
3946 ICE WAY
FORT WAYNE, IN 46805-1018
Phone number: 616-795-8120
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