JEFFREY CLEVENGER

LAFAYETTE, IN
NPI1619341856
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36000065A)
Enumeration Date2015-11-28
Last Update Date2015-11-28
Business Address
-- JEFFREY CLEVENGER M.S.
1801 S 18TH ST
LAFAYETTE, IN 47905-2011
Phone number: 765-772-4711
Mailing Address
-- JEFFREY CLEVENGER M.S.
2043 E 430 S
LAFAYETTE, IN 47909-8105
Phone number: 765-772-4711
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