Individual
MRS. CASSANDRA MARIE DEBLAUW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
100 E NORMAL ST, PERSHING BUILDING 122, KIRKSVILLE, MO 63501-4200
(660) 785-7272
Mailing address
2204 N EAST ST, KIRKSVILLE, MO 63501-2110
(660) 785-7272
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2005020755
MO
Other
Enumeration date
04/17/2006
Last updated
01/21/2011
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