Individual
DARA DE BOER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
110 S 3RD ST, WATSEKA, IL 60970-1666
(815) 432-2051
(815) 432-2069
Mailing address
819 W LAFAYETTE ST, APT. 65, WATSEKA, IL 60970-1081
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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