DOUGLAS CASSELL

LA PORTE, IN
NPI1891245106
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36000815A)
Enumeration Date2016-10-11
Last Update Date2016-10-11
Business Address
-- DOUGLAS CASSELL
5836 S RANGE RD
LA PORTE, IN 46350-9208
Phone number: 219-363-2935
Mailing Address
-- DOUGLAS CASSELL
5836 S RANGE RD
LA PORTE, IN 46350-9208
Phone number: 219-363-2935
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