SEAN DARRELL DEGERSTROM

TIFFIN, OH
NPI1790712727
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH  002298)
Enumeration Date2006-06-26
Last Update Date2007-07-08
Business Address
-- SEAN DARRELL DEGERSTROM ATC, CSCS
310 E MARKET ST
TIFFIN, OH 44883-2434
Phone number: 419-448-2154
Mailing Address
-- SEAN DARRELL DEGERSTROM ATC, CSCS
59 E MARKET ST
TIFFIN, OH 44883-2831
Phone number: 419-443-8164
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