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1598385072
DEREK WHITE
CARMEL, IN
NPI
1598385072
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36002539A)
Enumeration Date
2020-04-24
Last Update Date
2020-04-24
Business Address
Mr. DEREK WHITE ATC, LAT, CSCS
520 E MAIN ST APT SUITE
CARMEL, IN 46032-2259
Phone number: 317-446-5341
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Mailing Address
Mr. DEREK WHITE ATC, LAT, CSCS
950 W POPLAR ST APT SUITE
ZIONSVILLE, IN 46077-1224
Phone number: 317-446-5341
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