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Individual

MR. JUSTIN TOBYAS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
504 COLERAIN ST, WABASH, IN 46992-1616
(260) 569-2206
(260) 569-2241
Mailing address
240 OHIO ST, WABASH, IN 46992-1813
(260) 563-6774

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000565A
IN

Other

Enumeration date
12/05/2005
Last updated
07/08/2007
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