KEVIN GULLION

FORT WAYNE, IN
NPI1558760454
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IN  36002690A)
Enumeration Date2014-08-15
Last Update Date2024-12-04
Business Address
KEVIN GULLION ATC
3946 ICE WAY
FORT WAYNE, IN 46805-1018
Phone number: 812-571-0167
Mailing Address
KEVIN GULLION ATC
3946 ICE WAY
FORT WAYNE, IN 46805-1018
Phone number: 812-571-0167
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