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1194948471
PAUL KEITH WALNUM
INDIANAPOLIS, IN
NPI
1194948471
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36000458A)
Enumeration Date
2007-04-11
Last Update Date
2007-07-08
Business Address
Mr. PAUL KEITH WALNUM LAT, ATC, CSCS
324 E NEW YORK ST SUITE 300
INDIANAPOLIS, IN 46204-2141
Phone number: 317-972-1180
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Mailing Address
Mr. PAUL KEITH WALNUM LAT, ATC, CSCS
3470 SHERBURNE LN APT. D
INDIANAPOLIS, IN 46222-1639
Phone number: 317-925-0803
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