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1477685386
THOMAS BRIAN PAWLIK
FORT WAYNE, IN
NPI
1477685386
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36000550A)
Enumeration Date
2007-03-09
Last Update Date
2007-07-08
Business Address
-- THOMAS BRIAN PAWLIK ATC
5050 N CLINTON ST
FORT WAYNE, IN 46825-5822
Phone number: 260-484-8551
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Mailing Address
-- THOMAS BRIAN PAWLIK ATC
12613 STONEBORO CT
FORT WAYNE, IN 46845-9580
Phone number: 260-637-7357
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