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Individual

DANIELLE REBECCA PATTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13303 HAWKS VIEW BLVD, FORT WAYNE, IN 46845-8726
(260) 318-4337
Mailing address
13303 HAWKS VIEW BLVD, FORT WAYNE, IN 46845-8726
(260) 318-4337

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
02/09/2020
Last updated
02/09/2020
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