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1609260769
CAMERON DEAN DECKETT
SPRINGFIELD, MO
NPI
1609260769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2015-03-26
Last Update Date
2015-03-26
Business Address
Mr. CAMERON DEAN DECKETT
1139 E WALNUT ST APT B
SPRINGFIELD, MO 65806-2660
Phone number: 402-415-7148
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Mailing Address
Mr. CAMERON DEAN DECKETT
1139 E. WALNUT STREET APT B
SPRINGFIELD, MO 65806
Phone number: 402-415-7148
Copy
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