Individual
NATE DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
721 FERRY ST APT 6, LA CROSSE, WI 54601-4628
(608) 343-1003
Mailing address
721 FERRY ST APT 6, LA CROSSE, WI 54601-4628
(608) 343-1003
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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