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Individual

MISS DENISE YODER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
639 38TH ST, ROCK ISLAND, IL 61201-2210
(309) 794-7518
Mailing address
3220 13TH AVE, ROCK ISLAND, IL 61201-2902
(309) 794-7518

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
IL

Other

Enumeration date
02/17/2006
Last updated
07/08/2007
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