CHASE EDWARD TAYLOR

FORT WAYNE, IN
NPI1821571704
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36003070A)
Enumeration Date2018-09-07
Last Update Date2018-09-07
Business Address
CHASE EDWARD TAYLOR
2101 E COLISEUM BLVD
FORT WAYNE, IN 46805
Phone number: 260-481-6656
Mailing Address
CHASE EDWARD TAYLOR
2144 POINT WEST DR APT 2A
FORT WAYNE, IN 46808-4259
Phone number: 785-766-4333
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