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1194833665
LORI JANE VANCZA
TERRE HAUTE, IN
NPI
1194833665
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IN 36000226A)
Enumeration Date
2006-08-26
Last Update Date
2007-07-08
Business Address
MS. LORI JANE VANCZA LAT,ATC
401 N 4TH ST HHP BLDG RM B-17
TERRE HAUTE, IN 47809-1934
Phone number: 812-237-4062
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Mailing Address
MS. LORI JANE VANCZA LAT,ATC
1802 COLLEGE AVE
TERRE HAUTE, IN 47803-4033
Phone number: 812-235-6299
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