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1770025116
DUSTIN MELVIN
INDIANAPOLIS, IN
NPI
1770025116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36002015A)
Enumeration Date
2016-11-16
Last Update Date
2016-11-16
Business Address
-- DUSTIN MELVIN MS, ATC, LAT
7300 E 56TH ST
INDIANAPOLIS, IN 46226-1306
Phone number: 317-964-7445
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Mailing Address
-- DUSTIN MELVIN MS, ATC, LAT
7300 E 56TH ST
INDIANAPOLIS, IN 46226-1306
Phone number: 317-964-7445
Copy
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