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1407340268
ALEXANDER KOCH
DUBUQUE, IA
NPI
1407340268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA 089726)
Enumeration Date
2018-06-15
Last Update Date
2018-06-15
Business Address
ALEXANDER KOCH MS, LAT, ATC
350 N GRANDVIEW AVE
DUBUQUE, IA 52001-6388
Phone number: 563-582-1881
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Mailing Address
ALEXANDER KOCH MS, LAT, ATC
465 1/2 SIDNEY ST
EAST DUBUQUE, IL 61025-1148
Phone number: 608-697-9971
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