NICHOLAS RAY TJEERDSMA

FORT WAYNE, IN
NPI1912348210
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date2013-07-15
Last Update Date2018-01-05
Business Address
MR. NICHOLAS RAY TJEERDSMA ATC
3946 ICE WAY
FORT WAYNE, IN 46808-1735
Phone number: 319-939-7102
Mailing Address
MR. NICHOLAS RAY TJEERDSMA ATC
3946 ICE WAY
FORT WAYNE, IN 46808
Phone number: 319-939-7102
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