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1821418724
DEREK JOHN RAUSCH
DECORAH, IA
NPI
1821418724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA 00312)
Enumeration Date
2014-04-18
Last Update Date
2014-04-18
Business Address
Mr. DEREK JOHN RAUSCH ATC
516 MONTGOMERY ST
DECORAH, IA 52101-2720
Phone number: 563-382-4770
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Mailing Address
Mr. DEREK JOHN RAUSCH ATC
516 MONTGOMERY ST
DECORAH, IA 52101-2720
Phone number: 563-382-4770
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