SIERA UPDIKE

FORT WAYNE, IN
NPI1609383819
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36002682A)
Enumeration Date2018-01-09
Last Update Date2018-01-09
Business Address
SIERA UPDIKE LAT, ATC
3946 ICE WAY
FORT WAYNE, IN 46808
Phone number: 812-498-6740
Mailing Address
SIERA UPDIKE LAT, ATC
3946 ICE WAY
FORT WAYNE, IN 46808
Phone number:
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