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1588869804
LISA ANNE MARTIN
INDIANAPOLIS, IN
NPI
1588869804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36000417A)
Enumeration Date
2007-06-18
Last Update Date
2007-07-08
Business Address
Miss LISA ANNE MARTIN ATC, CSCS
8227 NORTHWEST BLVD SUITE 160
INDIANAPOLIS, IN 46278-1387
Phone number: 317-415-5747
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Mailing Address
Miss LISA ANNE MARTIN ATC, CSCS
8640 INGALLS LN
CAMBY, IN 46113-8116
Phone number: 317-821-1668
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