Individual
EVAN LYNNN DEKOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
1205 E 3RD ST, MC COOK, NE 69001-2631
(308) 430-2960
Mailing address
1301 E H ST, MC COOK, NE 69001-3482
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1137
NE
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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