STACEY GAVEN

FRANKLIN, IN
NPI1437529674
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36002199A)
Enumeration Date2015-09-30
Last Update Date2015-09-30
Business Address
-- STACEY GAVEN PhD, ATC, LAT
101 BRANIGIN BLVD SPURLOCK 213
FRANKLIN, IN 46131-2598
Phone number: 317-738-8123
Mailing Address
-- STACEY GAVEN PhD, ATC, LAT
1192 BALATON LN 208
GREENWOOD, IN 46143-8019
Phone number: