Individual
DUSTIN YODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
29069 COUNTY ROAD 36, WAKARUSA, IN 46573-9785
(574) 312-9360
Mailing address
29069 COUNTY ROAD 36, WAKARUSA, IN 46573-9785
(574) 312-9360
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002748A
IN
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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