MARY E DERCK

TOLEDO, OH
NPI1104955889
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH  AT.002401)
Enumeration Date2007-03-05
Last Update Date2007-07-08
Business Address
-- MARY E DERCK ATC
2865 N REYNOLDS RD STE. 110
TOLEDO, OH 43615-2068
Phone number: 419-578-7530
Mailing Address
-- MARY E DERCK ATC
6602 DORR ST APT 202
TOLEDO, OH 43615-4238
Phone number: 419-578-7530
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