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1245691989
STEPHANIE BOTTS
FORT WAYNE, IN
NPI
1245691989
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36002227A)
Enumeration Date
2016-03-08
Last Update Date
2024-12-05
Business Address
STEPHANIE BOTTS MBA, LAT, ACT
3946 ICE WAY
FORT WAYNE, IN 46805-1018
Phone number: 331-262-5587
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Mailing Address
STEPHANIE BOTTS MBA, LAT, ACT
3946 ICE WAY
FORT WAYNE, IN 46805-1018
Phone number:
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