MISS Michelle Diane Deboer, ATC

NPI #1841227451 in Morton, Illinois

Provider Information

NPI Number
1841227451
Entity Type
Individual
Name
MISS Michelle Diane Deboer, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Jun 27, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
350 N ILLINOIS AVE
City
Morton
ZIP Code
61550-2206
Phone
(390) 266-7182

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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