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1811357643
ANNE LABORDE
FORT WAYNE, IN
NPI
1811357643
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36002090A)
Enumeration Date
2016-03-07
Last Update Date
2016-03-07
Business Address
-- ANNE LABORDE
11130 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845-1735
Phone number: 217-264-4475
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Mailing Address
-- ANNE LABORDE
10020 DUPONT LAKES DR APT 3A
FORT WAYNE, IN 46825-7361
Phone number:
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