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1437529674
STACEY GAVEN
FRANKLIN, IN
NPI
1437529674
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IN 36002199A)
Enumeration Date
2015-09-30
Last Update Date
2015-09-30
Business Address
STACEY GAVEN PHD, ATC, LAT
101 BRANIGIN BLVD SPURLOCK 213
FRANKLIN, IN 46131-2598
Phone number: 317-738-8123
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Mailing Address
STACEY GAVEN PHD, ATC, LAT
1192 BALATON LN 208
GREENWOOD, IN 46143-8019
Phone number:
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