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1720483142
ERIK CHAOUCH
TERRE HAUTE, IN
NPI
1720483142
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IN 36002209A)
Enumeration Date
2014-10-28
Last Update Date
2014-10-28
Business Address
ERIK CHAOUCH
567 N 5TH ST
TERRE HAUTE, IN 47809-1903
Phone number: 812-237-4496
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Mailing Address
ERIK CHAOUCH
1150 GREENLEAF CT
TERRE HAUTE, IN 47802-9001
Phone number: 763-218-4628
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