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1447469200
NATASHA A BEAVERSON
EAST LANSING, MI
NPI
1447469200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH AT.002626)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
-- NATASHA A BEAVERSON ATC
2900 HANNAH BLVD
EAST LANSING, MI 48823-5384
Phone number: 517-364-8888
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Mailing Address
-- NATASHA A BEAVERSON ATC
1811 MERGANSER DR
HOLT, MI 48842
Phone number: 517-694-2538
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