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1104216712
SEAN PATRICK CLANCY
MUNCIE, IN
NPI
1104216712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36002954A)
Enumeration Date
2015-02-03
Last Update Date
2024-07-03
Business Address
SEAN PATRICK CLANCY LAT, ATC
2500 WEST BETHEL AVE
MUNCIE, IN 47304
Phone number: 317-694-3925
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Mailing Address
SEAN PATRICK CLANCY LAT, ATC
8954 GLASS CHIMNEY LN
FISHERS, IN 46037-9438
Phone number: 317-694-3925
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