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Individual

MR. CORY DAVID MICHAEL HAYDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAT, ATC

Contact information

Practice address
175 YORDON CENTER (NIU ATHLETIC TRAINING), DEKALB, IL 60115
(815) 753-4839
Mailing address
175 YORDON CENTER (NIU ATHLETIC TRAINING), DEKALB, IL 60115
(815) 753-4839

Taxonomy

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

Other

Enumeration date
08/15/2018
Last updated
12/09/2019
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