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1740775105
LOUIS JOHN MATRISCIANO
INDIANAPOLIS, IN
NPI
1740775105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-06-28
Last Update Date
2018-06-28
Business Address
Mr. LOUIS JOHN MATRISCIANO MS, ATC, LAT
922 N CAPITOL AVE STE D
INDIANAPOLIS, IN 46204-1005
Phone number: 765-506-3652
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Mailing Address
Mr. LOUIS JOHN MATRISCIANO MS, ATC, LAT
398 W 47TH ST
INDIANAPOLIS, IN 46208-3463
Phone number: 260-615-1218
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