MACE ODLE

FORT WAYNE, IN
NPI1972340529
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-07-11
Last Update Date2024-07-11
Business Address
MACE ODLE
3030 SANTA ROSA DR
FORT WAYNE, IN 46805-2827
Phone number: 260-515-3476
Mailing Address
MACE ODLE
3030 SANTA ROSA DR
FORT WAYNE, IN 46805-2827
Phone number: 260-515-3476
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