CALVIN BISSELL

FORT WAYNE, IN
NPI1184263857
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36001865A)
Enumeration Date2019-12-30
Last Update Date2019-12-30
Business Address
CALVIN BISSELL ATC
3946 ICE WAY
FORT WAYNE, IN 46805-1018
Phone number: 419-506-1229
Mailing Address
CALVIN BISSELL ATC
3946 ICE WAY
FORT WAYNE, IN 46805-1018
Phone number:
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