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1487123550
MICHAELA MCGUIRE
FORT WAYNE, IN
NPI
1487123550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IN 36003111A)
Enumeration Date
2018-11-19
Last Update Date
2018-11-19
Business Address
MICHAELA MCGUIRE
3946 ICE WAY
FORT WAYNE, IN 46808
Phone number: 260-417-0384
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Mailing Address
MICHAELA MCGUIRE
3946 ICE WAY
FORT WAYNE, IN 46808
Phone number: 260-417-0384
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