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1871954495
CHARLES HESSER
PORTAGE, IN
NPI
1871954495
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36000654A)
Enumeration Date
2016-03-09
Last Update Date
2016-03-09
Business Address
-- CHARLES HESSER ATC
3691 WILLOWCREEK RD
PORTAGE, IN 46368-5076
Phone number: 219-759-4380
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Mailing Address
-- CHARLES HESSER ATC
8259 WICKER AVE
SAINT JOHN, IN 46373-8878
Phone number: 219-365-6560
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