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1700214327
JOSEPH MCCUDDEN
FORT WAYNE, IN
NPI
1700214327
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36002294A)
Enumeration Date
2013-10-16
Last Update Date
2016-03-04
Business Address
-- JOSEPH MCCUDDEN ATC
11130 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845-1735
Phone number: 630-514-9880
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Mailing Address
-- JOSEPH MCCUDDEN ATC
6510 COVINGTON RD E317
FORT WAYNE, IN 46804-7350
Phone number:
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