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1588964274
COREY STANSIFER
EVANSVILLE, IN
NPI
1588964274
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT001452)
Enumeration Date
2010-10-27
Last Update Date
2010-10-27
Business Address
-- COREY STANSIFER
150 N ROSENBERGER AVE
EVANSVILLE, IN 47712-6503
Phone number: 812-491-3856
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Mailing Address
-- COREY STANSIFER
150 N ROSENBERGER AVE
EVANSVILLE, IN 47712-6503
Phone number: 812-491-3856
Copy
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