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1467788091
JOSEPH ELWOOD BAER
FORT WAYNE, IN
NPI
1467788091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36000157A)
Enumeration Date
2009-11-02
Last Update Date
2009-11-02
Business Address
Mr. JOSEPH ELWOOD BAER M.S., ATC/L
5050 N CLINTON ST
FORT WAYNE, IN 46825-5886
Phone number: 260-484-8551
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Mailing Address
Mr. JOSEPH ELWOOD BAER M.S., ATC/L
11322 SAINT JOE RD
FORT WAYNE, IN 46835-9737
Phone number: 260-627-8619
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