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Individual

TED DEININGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
C.O. BOCO

Contact information

Practice address
1108 E PATTERSON ST, KIRKSVILLE, MO 63501-4002
(319) 389-0508
Mailing address
606B JAMISON ST, KIRKSVILLE, MO 63501-5733
(319) 389-0508

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary

Other

Enumeration date
05/04/2007
Last updated
05/06/2008
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