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1306535430
EVAN LYNNN DEKOK
MC COOK, NE
NPI
1306535430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NE 1137)
Enumeration Date
2023-05-04
Last Update Date
2023-05-04
Business Address
EVAN LYNNN DEKOK ATC, LAT
1205 E 3RD ST
MC COOK, NE 69001-2631
Phone number: 308-430-2960
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Mailing Address
EVAN LYNNN DEKOK ATC, LAT
1301 E H ST
MC COOK, NE 69001-3482
Phone number:
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