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1255649257
JOSHUA SIDENER
FORT WAYNE, IN
NPI
1255649257
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36001893A)
Enumeration Date
2010-09-24
Last Update Date
2016-03-21
Business Address
-- JOSHUA SIDENER ATC
11130 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845-1735
Phone number: 419-346-8763
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Mailing Address
-- JOSHUA SIDENER ATC
5144 TRUEMPER WAY APT 10
FORT WAYNE, IN 46835-3265
Phone number: 419-346-8763
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