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1366901399
HOLLY MAE IVES
EAU CLAIRE, WI
NPI
1366901399
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-03-19
Last Update Date
2019-03-19
Business Address
HOLLY MAE IVES
509 UNIVERSITY DRIVE
EAU CLAIRE, WI 54701-5470
Phone number: 785-806-5556
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Mailing Address
HOLLY MAE IVES
2435 SE TECUMSEH RD
TECUMSEH, KS 66542-9327
Phone number: 785-806-5556
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