RYAN MAUTZ

FORT WAYNE, IN
NPI1215336904
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36001181A)
Enumeration Date2014-08-19
Last Update Date2014-08-19
Business Address
-- RYAN MAUTZ ATC
5050 N CLINTON ST
FORT WAYNE, IN 46825-5886
Phone number: 260-484-8551
Mailing Address
-- RYAN MAUTZ ATC
5050 N CLINTON ST
FORT WAYNE, IN 46825-5886
Phone number: 260-484-8551
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