KODY ANDERSON

DEKALB, IL
NPI1902384936
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096003785)
Enumeration Date2018-08-01
Last Update Date2018-08-01
Business Address
KODY ANDERSON
1525 W LINCOLN HWY
DEKALB, IL 60115-3989
Phone number: 815-243-1824
Mailing Address
KODY ANDERSON
1525 W LINCOLN HWY
DEKALB, IL 60115-3989
Phone number:
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