JERRY DONNELL FORD

FORT WAYNE, IN
NPI1275877201
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36001580A)
Enumeration Date2012-11-15
Last Update Date2012-11-15
Business Address
-- JERRY DONNELL FORD ATC
4251 LAHMEYER RD
FORT WAYNE, IN 46815-5676
Phone number: 260-432-4700
Mailing Address
-- JERRY DONNELL FORD ATC
4251 LAHMEYER RD
FORT WAYNE, IN 46815-5676
Phone number: 260-432-4700
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