RYAN WILLIAM UPTGRAFT

FORT WAYNE, IN
NPI1669643227
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
Enumeration Date2008-03-21
Last Update Date2008-03-21
Business Address
Mr. RYAN WILLIAM UPTGRAFT COTA
5939 BRIGHTON MEADOWS DR APT. C
FORT WAYNE, IN 46804-7664
Phone number: 260-418-9269
Mailing Address
Mr. RYAN WILLIAM UPTGRAFT COTA
5939 BRIGHTON MEADOWS DR APT. C
FORT WAYNE, IN 46804-7664
Phone number: 260-418-9269