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1295194660
MICHAEL AHEARN
CHESTERTON, IN
NPI
1295194660
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IN 36001254A)
Enumeration Date
2016-02-15
Last Update Date
2016-02-15
Business Address
MICHAEL AHEARN ATC
601 GATEWAY BLVD N
CHESTERTON, IN 46304-9658
Phone number: 219-921-1444
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Mailing Address
MICHAEL AHEARN ATC
8259 WICKER AVE
SAINT JOHN, IN 46373-8878
Phone number: 219-365-6560
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