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1538715842
JENNIFER MARIE DETWEILER
MUNCIE, IN
NPI
1538715842
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36000917A)
Enumeration Date
2019-08-13
Last Update Date
2019-08-13
Business Address
JENNIFER MARIE DETWEILER
3400 E STATE ROAD 28
MUNCIE, IN 47303-9799
Phone number: 765-288-5597
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Mailing Address
JENNIFER MARIE DETWEILER
1501 E EATON WHEELING PIKE
EATON, IN 47338-8912
Phone number: 765-993-3834
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