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1184368631
ALEXIS L LEVESQUE
FORT WAYNE, IN
NPI
1184368631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2022-04-21
Last Update Date
2024-12-03
Business Address
ALEXIS L LEVESQUE MAT, ATC, LAT
3946 ICE WAY
FORT WAYNE, IN 46805-1018
Phone number: 207-316-6297
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Mailing Address
ALEXIS L LEVESQUE MAT, ATC, LAT
3946 ICE WAY
FORT WAYNE, IN 46805-1018
Phone number: 207-316-6297
Copy
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