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1730694100
TRAVIS DIBBET
DES MOINES, IA
NPI
1730694100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA 000815)
Enumeration Date
2017-12-07
Last Update Date
2017-12-07
Business Address
TRAVIS DIBBET ATC
1200 GRANDVIEW AVE
DES MOINES, IA 50316-1529
Phone number: 515-263-6045
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Mailing Address
TRAVIS DIBBET ATC
5092 TIMBERLINE DR
WEST DES MOINES, IA 50265-5430
Phone number:
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