Individual
JEFFERY DIEZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5602 SUNLAND ST, LOUISVILLE, OH 44641-9330
(330) 284-5601
Mailing address
5602 SUNLAND ST, LOUISVILLE, OH 44641-9330
(330) 284-5601
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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