JOSHUA STORK

FORT WAYNE, IN
NPI1942627963
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36001441A)
Enumeration Date2014-03-27
Last Update Date2016-03-02
Business Address
-- JOSHUA STORK ATC, LAT, MBA
3601 S CALHOUN ST
FORT WAYNE, IN 46807-2006
Phone number: 260-249-9534
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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