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1477914968
ANICIA MATTINGLY
GREENWOOD, IN
NPI
1477914968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2016-03-11
Last Update Date
2017-06-16
Business Address
-- ANICIA MATTINGLY ATC
1891 WOODFIELD DR
GREENWOOD, IN 46143-6890
Phone number: 317-730-6541
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Mailing Address
-- ANICIA MATTINGLY ATC
1891 WOODFIELD DR
GREENWOOD, IN 46143-6890
Phone number:
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