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1093176448
DEANNE GREEN
INDIANAPOLIS, IN
NPI
1093176448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36002031A)
Enumeration Date
2016-03-14
Last Update Date
2016-03-14
Business Address
Ms. DEANNE GREEN ATC
7330 SHADELAND STA SUITE 150
INDIANAPOLIS, IN 46256-3957
Phone number: 317-621-7728
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Mailing Address
Ms. DEANNE GREEN ATC
7330 SHADELAND STA SUITE 150
INDIANAPOLIS, IN 46256-3957
Phone number: 317-621-7728
Copy
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