Individual
SEAN GILES JULIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3946 ICE WAY, FORT WAYNE, IN 46805-1018
(260) 266-4007
Mailing address
3946 ICE WAY, FORT WAYNE, IN 46805-1018
(317) 498-6808
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
IN
Other
Enumeration date
12/08/2022
Last updated
12/04/2024
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