Individual
ALYSON J VANDERPOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2308 DEAN DR, MITCHELL, SD 57301-7521
(605) 630-3405
Mailing address
2308 DEAN DR, MITCHELL, SD 57301-7521
(605) 630-3405
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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