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Individual

DEAN RAYMOND BEHRMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAT/ATC

Contact information

Practice address
401 W MERIDIAN SCHOOL RD, INDIANAPOLIS, IN 46217-4215
(317) 789-4585
Mailing address
715 WESTMORE DR, INDIANAPOLIS, IN 46214-2557
(317) 271-6653

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000213A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2255A2300X
ATHLETIC TRAINER
IN
Enumeration date
07/31/2006
Last updated
07/08/2007
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