CODY RYAN HARLAN

ANDERSON, IN
NPI1366918823
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36002859A)
Enumeration Date2018-10-22
Last Update Date2024-12-10
Business Address
CODY RYAN HARLAN LAT, ATC
1100 E 5TH ST
ANDERSON, IN 46012-3462
Phone number: 260-578-0144
Mailing Address
CODY RYAN HARLAN LAT, ATC
2910 COPPER HILL RUN
FORT WAYNE, IN 46804-3419
Phone number: 260-578-0144
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