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JERRY DONNELL FORD ATC

ATC

Athletic Trainer

NPI: 1275877201Individual

Specialties, Licenses & Credentials

Athletic TrainerPrimary

Specialist/Technologist — Athletic Trainer

Code: 2255A2300X

36001580A(IN)

Contact & Hours

Address
4251 LAHMEYER RD
FORT WAYNE, IN 46815

Quick Facts

NPI
1275877201
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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