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1902324916
EMILY RENE SAGSTETTER
FORT WAYNE, IN
NPI
1902324916
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA 101848)
Enumeration Date
2017-08-30
Last Update Date
2020-07-09
Business Address
EMILY RENE SAGSTETTER
6034 LIBERTY GLADE CT
FORT WAYNE, IN 46804
Phone number: 260-579-1910
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Mailing Address
EMILY RENE SAGSTETTER
6034 LIBERTY GLADE CT
FORT WAYNE, IN 46804-4219
Phone number: 260-579-1910
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