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1255020137
CAROLINE MCKIDDY
CHESTERTON, IN
NPI
1255020137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36002064A)
Enumeration Date
2023-05-05
Last Update Date
2023-05-05
Business Address
Mrs. CAROLINE MCKIDDY ATC
2331 PINEHURST AVE
CHESTERTON, IN 46304-9134
Phone number: 312-213-5256
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Mailing Address
Mrs. CAROLINE MCKIDDY ATC
2331 PINEHURST AVE
CHESTERTON, IN 46304-9134
Phone number:
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