CHAD ALAN DERBY

OSKALOOSA, IA
NPI1295960292
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA  000722)
Enumeration Date2009-05-19
Last Update Date2009-05-19
Business Address
Mr. CHAD ALAN DERBY ATC
201 TRUEBLOOD AVE
OSKALOOSA, IA 52577-1757
Phone number: 641-673-1093
Mailing Address
Mr. CHAD ALAN DERBY ATC
201 TRUEBLOOD AVE
OSKALOOSA, IA 52577-1757
Phone number: 641-673-1093
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