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1942627963
JOSHUA STORK
FORT WAYNE, IN
NPI
1942627963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IN 36001441A)
Enumeration Date
2014-03-27
Last Update Date
2016-03-02
Business Address
JOSHUA STORK ATC, LAT, MBA
3601 S CALHOUN ST
FORT WAYNE, IN 46807-2006
Phone number: 260-249-9534
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Mailing Address
JOSHUA STORK ATC, LAT, MBA
11130 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845-1735
Phone number: 260-249-9534
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