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1184191652
LYNN MARIE MILLER
FORT WAYNE, IN
NPI
1184191652
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36002760A)
Enumeration Date
2018-11-01
Last Update Date
2018-11-01
Business Address
Mrs. LYNN MARIE MILLER ATC
3946 ICE WAY
FORT WAYNE, IN 46805-1018
Phone number: 260-266-7368
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Mailing Address
Mrs. LYNN MARIE MILLER ATC
402 W 9TH ST
NORTH MANCHESTER, IN 46962-1186
Phone number: 260-370-1241
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