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1235487257
ALLISON WHITESIDE
WARREN, MI
NPI
1235487257
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MI 2601001028)
Enumeration Date
2012-08-23
Last Update Date
2012-08-23
Business Address
ALLISON WHITESIDE ATC
28000 DEQUINDRE RD
WARREN, MI 48092-2468
Phone number: 740-418-3089
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Mailing Address
ALLISON WHITESIDE ATC
8500 FLETCHER RD
GRAND BLANC, MI 48439-8908
Phone number:
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