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1619945888
BETH ANN HERRELL
FORT WAYNE, IN
NPI
1619945888
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36000171A)
Enumeration Date
2006-03-14
Last Update Date
2018-03-17
Business Address
Mrs. BETH ANN HERRELL MS, ATC, LAT, CSCS
3946 ICE WAY
FORT WAYNE, IN 46808
Phone number: 260-266-4007
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Mailing Address
Mrs. BETH ANN HERRELL MS, ATC, LAT, CSCS
3946 ICE WAY
FORT WAYNE, IN 46808
Phone number: 260-266-4007
Copy
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