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1316335268
DEREK FRY
GRANVILLE, OH
NPI
1316335268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH 003540)
Enumeration Date
2014-12-30
Last Update Date
2014-12-30
Business Address
-- DEREK FRY A.T.C.
200 LIVINGSTON DR
GRANVILLE, OH 43023
Phone number: 740-587-6577
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Mailing Address
-- DEREK FRY A.T.C.
100 W COLLEGE ST
GRANVILLE, OH 43023-1100
Phone number: 740-587-6577
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