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1396034880
HOLLY A HEITZMAN
INDIANAPOLIS, IN
NPI
1396034880
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36000330A)
Enumeration Date
2011-04-05
Last Update Date
2011-04-05
Business Address
-- HOLLY A HEITZMAN LATC
8227 NORTHWEST BLVD STE.160
INDIANAPOLIS, IN 46278-1387
Phone number: 317-415-5747
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Mailing Address
-- HOLLY A HEITZMAN LATC
1030 E 81ST ST
INDIANAPOLIS, IN 46240-2680
Phone number: 317-370-0923
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