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1265893754
JESSICA MARIE CLANIN
CARMEL, IN
NPI
1265893754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36002623A)
Enumeration Date
2016-03-11
Last Update Date
2018-06-27
Business Address
JESSICA MARIE CLANIN LAT, ATC
14455 CLAY TERRACE BLVD # AB
CARMEL, IN 46032
Phone number: 317-415-5747
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Mailing Address
JESSICA MARIE CLANIN LAT, ATC
7448 PAWTUCKET CT
INDIANAPOLIS, IN 46250-2755
Phone number: 815-323-9628
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