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1891144119
TREVOR DISMORE
DECORAH, IA
NPI
1891144119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: IA 081367)
Enumeration Date
2016-06-07
Last Update Date
2016-06-07
Business Address
TREVOR DISMORE
905 MONTGOMERY ST
DECORAH, IA 52101-2325
Phone number: 563-382-3649
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Mailing Address
TREVOR DISMORE
905 MONTGOMERY ST
DECORAH, IA 52101-2325
Phone number: 563-382-3649
Copy
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