KILEY ANDREW KNOBLAUCH

FORT WAYNE, IN
NPI1356319834
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36000515A)
Enumeration Date2006-03-09
Last Update Date2016-03-07
Business Address
Mr. KILEY ANDREW KNOBLAUCH LAT, ATC
11130 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845-1735
Phone number: 260-414-4606
Mailing 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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