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1457326100
ALISHA PORTER
INDIANAPOLIS, IN
NPI
1457326100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 080402429)
Enumeration Date
2006-02-17
Last Update Date
2007-07-08
Business Address
Ms. ALISHA PORTER ATC
2261 RALSTON AVE
INDIANAPOLIS, IN 46218-3444
Phone number: 317-916-9050
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Mailing Address
Ms. ALISHA PORTER ATC
2951 LOCUST CIR
INDIANAPOLIS, IN 46227-6711
Phone number:
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