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1104195593
RACHEAL MARIE SMITH
MUNSTER, IN
NPI
1104195593
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36001883A)
Enumeration Date
2011-12-14
Last Update Date
2011-12-14
Business Address
Miss RACHEAL MARIE SMITH ATC, LAT
1950 45TH AVE
MUNSTER, IN 46321-3927
Phone number: 219-924-7316
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Mailing Address
Miss RACHEAL MARIE SMITH ATC, LAT
425 W 93RD PL APT 116
CROWN POINT, IN 46307-2291
Phone number: 815-238-8415
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