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1902384761
ANDREA ELIZABETH QUINTOS
MUNSTER, IN
NPI
1902384761
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36002322A)
Enumeration Date
2018-08-03
Last Update Date
2018-08-03
Business Address
ANDREA ELIZABETH QUINTOS ATC LAT
901 MACARTHUR BLVD
MUNSTER, IN 46321-2901
Phone number: 219-836-1600
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Mailing Address
ANDREA ELIZABETH QUINTOS ATC LAT
541 CHICORY LN
VALPARAISO, IN 46385-8390
Phone number: 708-768-1856
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