EVERT GENE SIEBERT

TERRE HAUTE, IN
NPI1235103656
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: IN  36001269A)
Enumeration Date2006-02-14
Last Update Date2007-07-08
Business Address
-- EVERT GENE SIEBERT LAT, ATC
7TH STREET INDIANA STATE UNIVERSITY, ARENA BUILDING
TERRE HAUTE, IN 47807
Phone number: 812-249-9468
Mailing Address
-- EVERT GENE SIEBERT LAT, ATC
630 ELM ST APT 3
TERRE HAUTE, IN 47807-2046
Phone number: 812-249-9468
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