Individual
FABIAN ANTONIO MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 W UNIVERSITY AVE, MUNCIE, IN 47306-1022
(765) 289-1241
Mailing address
1991 AUSTIN JAMES LN, SEYMOUR, IN 47274-3373
(812) 241-3571
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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