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1881187193
LISA NICOLE AMES
TERRE HAUTE, IN
NPI
1881187193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-06-11
Last Update Date
2021-12-23
Business Address
LISA NICOLE AMES LAT, ATC
398 S 23RD ST
TERRE HAUTE, IN 47803
Phone number: 812-462-4396
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Mailing Address
LISA NICOLE AMES LAT, ATC
2401 N 11TH ST
TERRE HAUTE, IN 47804-2320
Phone number: 812-585-1394
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