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Individual

JOSHUA SLAYTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAT, ATC

Contact information

Practice address
3946 ICE WAY, FORT WAYNE, IN 46805-1018
(616) 795-8120
(260) 982-5405
Mailing address
3946 ICE WAY, FORT WAYNE, IN 46805-1018
(616) 795-8120
(260) 982-5405

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003210A
IN

Other

Enumeration date
01/12/2015
Last updated
10/04/2024
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