Individual
ZACHARY TYLER DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5000 SAINT PAUL AVE, LINCOLN, NE 68504-2760
(402) 465-2128
Mailing address
1518 H ST, AUBURN, NE 68305-1955
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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