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1902266802
JULIE LIES
FORT WAYNE, IN
NPI
1902266802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36001984A)
Enumeration Date
2016-03-04
Last Update Date
2024-09-11
Business Address
JULIE LIES MPM, LAT, ATC
2303 MEADOWSWEET CT
FORT WAYNE, IN 46808-1694
Phone number: 260-413-0428
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Mailing Address
JULIE LIES MPM, LAT, ATC
2303 MEADOWSWEET CT
FORT WAYNE, IN 46808-1694
Phone number: 260-413-0428
Copy
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