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1558684522
TRACY LYNN HOUSER
FORT WAYNE, IN
NPI
1558684522
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36000538A)
Enumeration Date
2010-03-05
Last Update Date
2010-03-05
Business Address
Mrs. TRACY LYNN HOUSER ATC/LAT
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4133
Phone number: 260-436-6326
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Mailing Address
Mrs. TRACY LYNN HOUSER ATC/LAT
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4133
Phone number: 260-436-6326
Copy
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