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1942038096
ELISE PAYNE
EVANSVILLE, IN
NPI
1942038096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36003937A)
Enumeration Date
2024-07-22
Last Update Date
2024-07-23
Business Address
ELISE PAYNE LAT, ATC
225 CROSSLAKE DR
EVANSVILLE, IN 47715-8198
Phone number: 812-477-1558
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Mailing Address
ELISE PAYNE LAT, ATC
523 S LINCOLN PARK DR
EVANSVILLE, IN 47714-1535
Phone number:
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