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1851714216
MARY JO CUSON
FORT WAYNE, IN
NPI
1851714216
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IN 36001764A)
Enumeration Date
2014-01-21
Last Update Date
2018-03-17
Business Address
MARY JO CUSON MS,LAT,ATC
3946 ICE WAY
FORT WAYNE, IN 46808
Phone number: 419-902-4973
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Mailing Address
MARY JO CUSON MS,LAT,ATC
3946 ICE WAY
FORT WAYNE, IN 46808
Phone number: 419-902-4973
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