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1720107980
DEANN PETITGOUT
DUBUQUE, IA
NPI
1720107980
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA 00226)
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
Mrs. DEANN PETITGOUT LAT, ATC
1550 CLARKE DR MS 1757
DUBUQUE, IA 52001-3117
Phone number: 563-588-6415
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Mailing Address
Mrs. DEANN PETITGOUT LAT, ATC
609 SHERWOOD AVE
EAST DUBUQUE, IL 61025-1151
Phone number: 815-747-9922
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