LARAMIE G BAUMAN

FORT WAYNE, IN
NPI1700108453
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36001568A)
Enumeration Date2010-02-23
Last Update Date2022-05-26
Business Address
LARAMIE G BAUMAN LAT, ATC
3946 ICE WAY
FORT WAYNE, IN 46805-1018
Phone number: 260-266-7400
Mailing Address
LARAMIE G BAUMAN LAT, ATC
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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