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1891192548
HEATHER SUE TALLEY
VALPARAISO, IN
NPI
1891192548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36002150A)
Enumeration Date
2014-11-24
Last Update Date
2014-11-24
Business Address
-- HEATHER SUE TALLEY LAT, ATC
624 W 300 N
VALPARAISO, IN 46385-9203
Phone number: 219-707-6664
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Mailing Address
-- HEATHER SUE TALLEY LAT, ATC
624 W 300 N
VALPARAISO, IN 46385-9203
Phone number:
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