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1023492246
DANIELLE ALLEN
LA PORTE, IN
NPI
1023492246
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36002442A)
Enumeration Date
2015-07-17
Last Update Date
2015-07-17
Business Address
-- DANIELLE ALLEN
600 LEGACY PLZ W
LA PORTE, IN 46350-5268
Phone number: 503-621-6697
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Mailing Address
-- DANIELLE ALLEN
211 BRIARWOOD CIR APT L
LA PORTE, IN 46350-7470
Phone number: 503-621-6697
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