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1396071452
JONATHAN ALLEN
CONNERSVILLE, IN
NPI
1396071452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36001185A)
Enumeration Date
2009-10-26
Last Update Date
2009-10-26
Business Address
Mr. JONATHAN ALLEN MA, ATC, LAT
1941 VIRGINIA AVE
CONNERSVILLE, IN 47331-2833
Phone number: 765-827-8052
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Mailing Address
Mr. JONATHAN ALLEN MA, ATC, LAT
PO BOX 468
DUBLIN, IN 47335-0468
Phone number: 765-730-1094
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