Individual
ANNE LABORDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11130 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845-1735
(217) 264-4475
Mailing address
10020 DUPONT LAKES DR APT 3A, FORT WAYNE, IN 46825-7361
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002090A
IN
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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