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Individual

MR. CRAIG A DYER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
5050 N CLINTON ST, FT WAYNE, IN 46825-5822
(260) 484-8551
Mailing address
11328 RUPERT RD, HARLAN, IN 46743-7429
(260) 657-1449

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000451A
IN

Other

Enumeration date
03/23/2006
Last updated
07/08/2007
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