MARK FORBING

BLOOMINGTON, IN
NPI1275963712
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36002003A)
Enumeration Date2013-11-20
Last Update Date2020-08-03
Business Address
MARK FORBING MS, LAT, ATC
410 N CLARK ST
BLOOMINGTON, IN 47408-4182
Phone number: 260-385-2560
Mailing Address
MARK FORBING MS, LAT, ATC
3946 ICE WAY
FORT WAYNE, IN 46805-1018
Phone number: 260-385-2560
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