ELIZABETH LEANN AUGUSTINE

WARSAW, IN
NPI1932461845
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36001368A)
Enumeration Date2012-06-15
Last Update Date2012-06-15
Business Address
-- ELIZABETH LEANN AUGUSTINE ATC
1500 PROVIDENT DR STE C
WARSAW, IN 46580-3297
Phone number: 574-372-7671
Mailing Address
-- ELIZABETH LEANN AUGUSTINE ATC
2802 HUFFMAN ST
WINONA LAKE, IN 46590-2065
Phone number: 574-377-0560
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