HEATHER NICOLE RACINE

FORT WAYNE, IN
NPI1942702964
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36002852A)
Enumeration Date2018-03-06
Last Update Date2018-03-17
Business Address
HEATHER NICOLE RACINE LAT, ATC
3946 ICE WAY
FORT WAYNE, IN 46805-1018
Phone number: 812-319-2519
Mailing Address
HEATHER NICOLE RACINE LAT, ATC
3946 ICE WAY
FORT WAYNE, IN 46805-1018
Phone number:
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