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1063628931
MARCUS J DAVIS
FRANKLIN, IN
NPI
1063628931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IN 36000969A)
Enumeration Date
2007-05-15
Last Update Date
2007-07-08
Business Address
MARCUS J DAVIS ATC, LAT
625 GRIZZLY CUB DR
FRANKLIN, IN 46131-1362
Phone number: 317-847-5817
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Mailing Address
MARCUS J DAVIS ATC, LAT
1340 WRIGHT CT
FRANKLIN, IN 46131-7362
Phone number: 317-736-0722
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