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Individual

MARIE SUMMERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2170 S STATE ROAD 39, DANVILLE, IN 46122-8002
(317) 750-7462
Mailing address
2170 S STATE ROAD 39, DANVILLE, IN 46122-8002

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
01/21/2016
Last updated
01/21/2016
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