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1215945613
KEVIN MELCHERT
DUBUQUE, IA
NPI
1215945613
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA 00255)
Enumeration Date
2006-08-03
Last Update Date
2007-07-08
Business Address
Mr. KEVIN MELCHERT ATC
1450 ALTA VISTA ST
DUBUQUE, IA 52001-4327
Phone number: 563-588-7408
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Mailing Address
Mr. KEVIN MELCHERT ATC
2940 BURLINGTON ST
DUBUQUE, IA 52001-0914
Phone number: 563-599-7910
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