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1275593915
DIANA ELIZABETH YOST
ROCKFORD, IL
NPI
1275593915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096-001497)
Enumeration Date
2006-03-25
Last Update Date
2007-07-08
Business Address
-- DIANA ELIZABETH YOST MS Ed, ATC
5510 E STATE ST
ROCKFORD, IL 61108-2381
Phone number: 815-395-4696
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Mailing Address
-- DIANA ELIZABETH YOST MS Ed, ATC
2636 19TH ST
ROCKFORD, IL 61109-1402
Phone number: 815-501-6853
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