MELISSA ERICSON

TERRE HAUTE, IN
NPI1811421837
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36002463A)
Enumeration Date2017-04-17
Last Update Date2017-04-17
Business Address
-- MELISSA ERICSON LAT, ATC
567 N 5TH ST
TERRE HAUTE, IN 47809-1903
Phone number: 262-716-7994
Mailing Address
-- MELISSA ERICSON LAT, ATC
357 ANTIOCH CIR W
TERRE HAUTE, IN 47803-9453
Phone number:
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