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1962862094
QUINN WILEY
FORT WAYNE, IN
NPI
1962862094
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36002122A)
Enumeration Date
2016-03-02
Last Update Date
2016-03-02
Business Address
-- QUINN WILEY MPM, ATC, LAT
11130 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845-1735
Phone number: 260-578-0685
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Mailing Address
-- QUINN WILEY MPM, ATC, LAT
5151 E 1300 N
NORTH MANCHESTER, IN 46962-8260
Phone number: 260-578-0685
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