DERRICK LECY

RAPID CITY, SD
NPI1821418617
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SD  0349)
Enumeration Date2014-04-21
Last Update Date2014-04-21
Business Address
-- DERRICK LECY ATC
501 E SAINT JOSEPH ST
RAPID CITY, SD 57701-3901
Phone number: 605-394-2351
Mailing Address
-- DERRICK LECY ATC
501 E SAINT JOSEPH ST
RAPID CITY, SD 57701-3901
Phone number:
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