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1750038683
SOPHIA ROSE DUGAN
BLOOMINGTON, IN
NPI
1750038683
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2022-03-10
Last Update Date
2022-03-10
Business Address
SOPHIA ROSE DUGAN
701 E 17TH ST
BLOOMINGTON, IN 47408-1578
Phone number: 812-855-4509
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Mailing Address
SOPHIA ROSE DUGAN
743 MILLBROOK DR
AVON, IN 46123-7449
Phone number: 765-719-3082
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