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1417364050
JILL STRUBLE
LA PORTE, IN
NPI
1417364050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36002178A)
Enumeration Date
2014-07-15
Last Update Date
2014-07-15
Business Address
-- JILL STRUBLE MS, LAT, ATC
600 LEGACY PLZ W
LA PORTE, IN 46350-5268
Phone number: 219-362-8761
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Mailing Address
-- JILL STRUBLE MS, LAT, ATC
6100 S JOHN ST
NORTH JUDSON, IN 46366-8703
Phone number: 937-423-0722
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