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Individual

SCOTT WESLEY ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LAT, ATC

Contact information

Practice address
4201 S WASHINGTON ST, MARION, IN 46953-4974
(765) 677-3335
Mailing address
1503 N WABASH AVE, MARION, IN 46952-1801
(805) 729-4268

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002684A
IN

Other

Enumeration date
08/10/2017
Last updated
08/10/2017
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