BRADY DEJONG

INDIANOLA, IA
NPI1053133520
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA  114877)
Enumeration Date2024-10-28
Last Update Date2024-10-28
Business Address
BRADY DEJONG LAT, ATC, MSAT
701 N C ST
INDIANOLA, IA 50125-1201
Phone number: 515-961-6251
Mailing Address
BRADY DEJONG LAT, ATC, MSAT
1705 BEVERLY DR
KNOXVILLE, IA 50138-1613
Phone number: