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Individual

ALYSSA RENE CLENDENEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
900 N JOHN R WOODEN DR, WEST LAFAYETTE, IN 47907-2117
(765) 494-3245
Mailing address
5392 S 525 W, PENDLETON, IN 46064-9390

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
11/28/2017
Last updated
11/28/2017
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