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1285952382
ALICIA LYSIUK
ANDERSON, IN
NPI
1285952382
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36001004A)
Enumeration Date
2010-05-13
Last Update Date
2018-09-26
Business Address
ALICIA LYSIUK LAT, ATC, MS
3125 S SCATTERFIELD RD STE 210
ANDERSON, IN 46013-1804
Phone number: 765-298-4311
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Mailing Address
ALICIA LYSIUK LAT, ATC, MS
10752 CHESTNUT HEATH CT
NOBLESVILLE, IN 46060-6117
Phone number: 317-417-6217
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