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Individual

BROOKE IRENE DICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
600 PARK ST, HAYS, KS 67601-4009
(724) 714-8337
Mailing address
PO BOX 983, ATHENS, WV 24712-0983

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
T-04987
KS

Other

Enumeration date
08/18/2018
Last updated
03/01/2022
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