KRISTEN TETUAN

BLOOMINGTON, IN
NPI1649693458
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36002008A)
Enumeration Date2014-01-30
Last Update Date2014-01-30
Business Address
-- KRISTEN TETUAN LAT, ATC
800 N SMITH RD APT 1L
BLOOMINGTON, IN 47408-2944
Phone number: 419-944-0623
Mailing Address
-- KRISTEN TETUAN LAT, ATC
800 N SMITH RD APT 1L
BLOOMINGTON, IN 47408-2944
Phone number: 419-944-0623
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