MARY JO CUSON

FORT WAYNE, IN
NPI1851714216
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36001764A)
Enumeration Date2014-01-21
Last Update Date2018-03-17
Business Address
MARY JO CUSON MS,LAT,ATC
3946 ICE WAY
FORT WAYNE, IN 46808
Phone number: 419-902-4973
Mailing Address
MARY JO CUSON MS,LAT,ATC
3946 ICE WAY
FORT WAYNE, IN 46808
Phone number: 419-902-4973
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