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1902220635
ELISE MARTHA PRATT
EVANSVILLE, IN
NPI
1902220635
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36000890A)
Enumeration Date
2014-02-17
Last Update Date
2014-02-17
Business Address
-- ELISE MARTHA PRATT ATC
150 N ROSENBERGER AVE
EVANSVILLE, IN 47712-6503
Phone number: 812-491-3856
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Mailing Address
-- ELISE MARTHA PRATT ATC
6700 E US HIGHWAY 36
ROCKVILLE, IN 47872-7703
Phone number: 765-344-1312
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