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1750655361
SARA E LOCICERO
BLOOMINGTON, IN
NPI
1750655361
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36001841A)
Enumeration Date
2012-02-28
Last Update Date
2012-02-28
Business Address
-- SARA E LOCICERO LAT, ATC
2805 E 10TH ST
BLOOMINGTON, IN 47408-2698
Phone number: 812-855-3114
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Mailing Address
-- SARA E LOCICERO LAT, ATC
659 S CEDAR AVE
ELMHURST, IL 60126-4608
Phone number: 630-567-9159
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