STEPHEN LUBBEHUSEN

FORT WAYNE, IN
NPI1942639406
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36000286A)
Enumeration Date2013-11-05
Last Update Date2013-11-05
Business Address
Mr. STEPHEN LUBBEHUSEN ATC,LAT
10807 SMOKEY RIDGE PL
FORT WAYNE, IN 46818-8876
Phone number: 260-490-9957
Mailing Address
Mr. STEPHEN LUBBEHUSEN ATC,LAT
10807 SMOKEY RIDGE PL
FORT WAYNE, IN 46818-8876
Phone number: 260-490-9957
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