Individual
DYLAN ALEJANDRO ARANGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
3946 ICE WAY, FORT WAYNE, IN 46805-1018
(260) 266-4007
Mailing address
3946 ICE WAY, FORT WAYNE, IN 46805-1018
(260) 266-4007
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003517A
IN
Other
Enumeration date
01/21/2019
Last updated
08/22/2021
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