Individual
MRS. MICHELE L VINCE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC, L
Contact information
Practice address
5050 N CLINTON ST, FORT WAYNE, IN 46825-5822
(260) 483-7974
Mailing address
3029 WATER WHEEL RUN, FT WAYNE, IN 46818-8758
(260) 348-7934
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000995A
IN
Other
Enumeration date
04/03/2006
Last updated
07/08/2007
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