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1356319834
KILEY ANDREW KNOBLAUCH
FORT WAYNE, IN
NPI
1356319834
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36000515A)
Enumeration Date
2006-03-09
Last Update Date
2016-03-07
Business Address
Mr. KILEY ANDREW KNOBLAUCH LAT, ATC
11130 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845-1735
Phone number: 260-414-4606
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Mailing Address
Mr. KILEY ANDREW KNOBLAUCH LAT, ATC
11130 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845-1735
Phone number: 260-414-4606
Copy
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