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Individual

ANICIA MATTINGLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1891 WOODFIELD DR, GREENWOOD, IN 46143-6890
(317) 730-6541
Mailing address
1891 WOODFIELD DR, GREENWOOD, IN 46143-6890

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
03/11/2016
Last updated
06/16/2017
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