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1467916510
DEREK SIMMONS
SPRINGFIELD, IL
NPI
1467916510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-01-23
Last Update Date
2019-01-23
Business Address
DEREK SIMMONS
7912 HUNT RD
SPRINGFIELD, IL 62712-8995
Phone number: 217-741-1802
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Mailing Address
DEREK SIMMONS
7912 HUNT RD
SPRINGFIELD, IL 62712-8995
Phone number:
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