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Individual

MRS. AUDRIE E MORRICAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
5518 OLD DOVER BLVD APT 3, FORT WAYNE, IN 46835-2840
(260) 246-0600
Mailing address
5518 OLD DOVER BLVD APT 3, FORT WAYNE, IN 46835-2840

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
09/26/2017
Last updated
09/26/2017
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