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1548537814
ZACHARY JAMES DOUGAL
FORT WAYNE, IN
NPI
1548537814
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36001419A)
Enumeration Date
2011-11-30
Last Update Date
2024-03-15
Business Address
Dr. ZACHARY JAMES DOUGAL ATC
10106 DUPONT CIRCLE DR E
FORT WAYNE, IN 46825-1639
Phone number: 260-242-2476
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Mailing Address
Dr. ZACHARY JAMES DOUGAL ATC
3208 BREYERTON CV
FORT WAYNE, IN 46814-0001
Phone number: 260-242-2476
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