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Individual
JOHN MICHAEL DEIR
Active
Individual
JOHN MICHAEL DEIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.026917
IL
2255A2300X
Athletic Trainer
BOC359051
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
ATHLETIC TRAINER
—
Enumeration date
10/18/2018
Last updated
10/18/2022
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