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Individual

NATHANIEL DAVID DILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
125 W COOPER ST, STERLING, KS 67579-1533
(567) 242-8912
Mailing address
209 E ADAMS AVE, STERLING, KS 67579-1914
(567) 242-8912

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2000027440
BOC
Enumeration date
08/13/2017
Last updated
08/13/2017
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