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1124443908
DANIELLE TUCKER
INDIANAPOLIS, IN
NPI
1124443908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36001852A)
Enumeration Date
2014-03-03
Last Update Date
2014-03-03
Business Address
-- DANIELLE TUCKER LAT, ATC
201 PENNSYLVANIA PKWY
INDIANAPOLIS, IN 46280-2301
Phone number: 317-817-1200
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Mailing Address
-- DANIELLE TUCKER LAT, ATC
201 PENNSYLVANIA PKWY
INDIANAPOLIS, IN 46280-2301
Phone number:
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