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1457065344
MARK ELIZONDO
CRAWFORDSVILLE, IN
NPI
1457065344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36000944a)
Enumeration Date
2023-01-06
Last Update Date
2023-01-06
Business Address
Mr. MARK ELIZONDO MS, LAT, ATC
301 W WABASH AVE STE A
CRAWFORDSVILLE, IN 47933-2484
Phone number: 765-361-6235
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Mailing Address
Mr. MARK ELIZONDO MS, LAT, ATC
301 W WABASH AVE STE A
CRAWFORDSVILLE, IN 47933-2484
Phone number: 765-361-6235
Copy
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