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1386073021
KIMBERLY LATHAM
INDIANAPOLIS, IN
NPI
1386073021
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36000469A)
Enumeration Date
2013-11-04
Last Update Date
2013-11-04
Business Address
Mrs. KIMBERLY LATHAM A.T.,C.
201 PENNSYLVANIA PKWY SUITE 100
INDIANAPOLIS, IN 46280-2301
Phone number: 317-817-1252
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Mailing Address
Mrs. KIMBERLY LATHAM A.T.,C.
201 PENNSYLVANIA PKWY SUITE 100
INDIANAPOLIS, IN 46280-2301
Phone number: 317-817-1252
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