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1275049686
JULIANNA DAVIS
FORT WAYNE, IN
NPI
1275049686
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-12-20
Last Update Date
2020-11-18
Business Address
JULIANNA DAVIS LAT, ATC
3946 ICE WAY
FORT WAYNE, IN 46805-1018
Phone number: 260-266-4007
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Mailing Address
JULIANNA DAVIS LAT, ATC
3946 ICE WAY
FORT WAYNE, IN 46805-1018
Phone number: 260-266-4007
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