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1588658140
ANTHONY W GAMBILL
FORT WAYNE, IN
NPI
1588658140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36000011A)
Enumeration Date
2005-09-09
Last Update Date
2010-03-29
Business Address
-- ANTHONY W GAMBILL A.T.C., CSCS
2701 SPRING ST
FORT WAYNE, IN 46808-3939
Phone number: 260-399-7700
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Mailing Address
-- ANTHONY W GAMBILL A.T.C., CSCS
7302 JASMINE PL
FORT WAYNE, IN 46825-3196
Phone number: 260-483-3071
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