EMILY JEANE MIZE

FORT WAYNE, IN
NPI1710658869
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2021-09-27
Last Update Date2022-05-28
Business Address
EMILY JEANE MIZE
3946 ICE WAY
FORT WAYNE, IN 46805-1018
Phone number: 260-444-2788
Mailing Address
EMILY JEANE MIZE
3946 ICE WAY
FORT WAYNE, IN 46805-1018
Phone number: 260-306-1005
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