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1093846305
KYLE WITKEMPER
SHELBYVILLE, IN
NPI
1093846305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36000688A)
Enumeration Date
2007-03-08
Last Update Date
2007-07-08
Business Address
Mr. KYLE WITKEMPER ATC.,LAT
1640 E STATE ROAD 44 STE A
SHELBYVILLE, IN 46176-4030
Phone number: 317-392-5855
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Mailing Address
Mr. KYLE WITKEMPER ATC.,LAT
7329 POPPYSEED DR
INDIANAPOLIS, IN 46237-3675
Phone number: 317-889-0736
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