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1679535413
KEVIN LEROY DEREMER
OMAHA, NE
NPI
1679535413
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NE 217)
Enumeration Date
2006-04-05
Last Update Date
2007-07-08
Business Address
Mr. KEVIN LEROY DEREMER ATC
CREIGHTON UNIVERSITY DEPT. OF ATHLETICS 2500 CALIFORNIA PLAZA
OMAHA, NE 68178-0001
Phone number: 402-280-1793
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Mailing Address
Mr. KEVIN LEROY DEREMER ATC
13927 PINE ST
OMAHA, NE 68144-1152
Phone number: 402-697-3892
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