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1518949148
AUTUMN WHITSON
TERRE HAUTE, IN
NPI
1518949148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IN 36001241A)
Enumeration Date
2005-11-18
Last Update Date
2007-07-08
Business Address
AUTUMN WHITSON
3959 IAN DR
TERRE HAUTE, IN 47803
Phone number: 812-237-8402
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Mailing Address
AUTUMN WHITSON
3959 IAN DR
TERRE HAUTE, IN 47803
Phone number:
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