Individual
MR. DANE R SECOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1300 ACADEMY RD # 10, CULVER, IN 46511-1234
(574) 842-7000
Mailing address
1300 ACADEMY RD # 10, CULVER, IN 46511-1234
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003521A
IN
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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