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1922099951
RUTH ANN ALLEN
BLOOMINGTON, IN
NPI
1922099951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36000644A)
Enumeration Date
2005-10-31
Last Update Date
2007-07-08
Business Address
-- RUTH ANN ALLEN ATC
1001 E 17TH ST
BLOOMINGTON, IN 47408-1590
Phone number: 812-855-1326
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Mailing Address
-- RUTH ANN ALLEN ATC
1211 W 17TH ST
BLOOMINGTON, IN 47404-3021
Phone number: 812-333-9890
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