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1003567074
MARCUS AYINDE ELLINGTON
BLOOMINGTON, IN
NPI
1003567074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2022-01-12
Last Update Date
2022-01-12
Business Address
MARCUS AYINDE ELLINGTON
701 E 17TH ST
BLOOMINGTON, IN 47408-1578
Phone number: 317-270-8973
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Mailing Address
MARCUS AYINDE ELLINGTON
628 W 17TH ST
BLOOMINGTON, IN 47404-3460
Phone number: 317-270-8973
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