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1215583703
LAUREN ELIZABETH EHLE
FORT WAYNE, IN
NPI
1215583703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36003199A)
Enumeration Date
2019-08-12
Last Update Date
2019-08-12
Business Address
LAUREN ELIZABETH EHLE LAT, ATC
3946 ICE WAY
FORT WAYNE, IN 46805-1018
Phone number: 260-417-6994
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Mailing Address
LAUREN ELIZABETH EHLE LAT, ATC
3946 ICE WAY
FORT WAYNE, IN 46805-1018
Phone number: 260-417-6994
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