KRYSTAL BRAZEL

WEST LAFAYETTE, IN
NPI1558790683
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36001980A)
Enumeration Date2013-11-08
Last Update Date2013-11-08
Business Address
-- KRYSTAL BRAZEL
355 N MARTIN JISCHKE DR
WEST LAFAYETTE, IN 47907-2030
Phone number: 765-494-9622
Mailing Address
-- KRYSTAL BRAZEL
355 N MARTIN JISCHKE DR
WEST LAFAYETTE, IN 47907-2030
Phone number:
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