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1346620895
DEREK KOESTER
TOLEDO, OH
NPI
1346620895
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH AT.004130)
Enumeration Date
2015-05-30
Last Update Date
2015-05-30
Business Address
-- DEREK KOESTER AT, ATC
2303 BROOKFORD DR
TOLEDO, OH 43614-4308
Phone number: 419-615-0193
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Mailing Address
-- DEREK KOESTER AT, ATC
2303 BROOKFORD DR
TOLEDO, OH 43614-4308
Phone number: 419-615-0193
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