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1467874040
MICHAEL LANSON NEAL
TERRE HAUTE, IN
NPI
1467874040
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36002161A)
Enumeration Date
2014-01-15
Last Update Date
2014-01-15
Business Address
Mr. MICHAEL LANSON NEAL ATC, LAT
200 N 7TH ST
TERRE HAUTE, IN 47809-1902
Phone number: 510-299-6828
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Mailing Address
Mr. MICHAEL LANSON NEAL ATC, LAT
357 ANTIOCH CIR W
TERRE HAUTE, IN 47803-9453
Phone number: 510-299-6828
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