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Individual

MS. MARCI ROYALTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1200 N GIRLS SCHOOL RD, INDIANAPOLIS, IN 46214-3403
(317) 988-7384
Mailing address
5857 PARTERRA DR, INDIANAPOLIS, IN 46237-2265
(317) 782-8348

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000277A
IN

Other

Enumeration date
11/03/2011
Last updated
11/03/2011
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