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1215508890
TYLER E BAKER
INDIANAPOLIS, IN
NPI
1215508890
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IN 0000001817)
Enumeration Date
2021-07-06
Last Update Date
2021-07-06
Business Address
MR. TYLER E BAKER MS, LAT, ATC
2601 FORTUNE CIR E STE 105B
INDIANAPOLIS, IN 46241-5523
Phone number: 317-412-2313
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Mailing Address
MR. TYLER E BAKER MS, LAT, ATC
119 FAIRFIELD DR
SHELBYVILLE, IN 46176-2701
Phone number:
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