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1831652247
ADISON LEE SOUTH
EVANSVILLE, IN
NPI
1831652247
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36003142A)
Enumeration Date
2019-04-11
Last Update Date
2019-04-11
Business Address
ADISON LEE SOUTH ATC, LAT
1800 LINCOLN AVE
EVANSVILLE, IN 47722-1000
Phone number: 812-691-6903
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Mailing Address
ADISON LEE SOUTH ATC, LAT
5710 ROCKY PT
EVANSVILLE, IN 47712-3124
Phone number: 812-691-6903
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