DESTRY SPERFSLAGE

WATERLOO, IA
NPI1205291077
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA  076990)
Enumeration Date2015-12-22
Last Update Date2015-12-22
Business Address
-- DESTRY SPERFSLAGE
5525 SUMMERLAND DR
WATERLOO, IA 50701-9598
Phone number: 563-608-5650
Mailing Address
-- DESTRY SPERFSLAGE
5525 SUMMERLAND DR
WATERLOO, IA 50701-9598
Phone number:
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