Individual
MR. CAMERON DEAN DECKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1139 E WALNUT ST APT B, SPRINGFIELD, MO 65806-2660
(402) 415-7148
Mailing address
1139 E. WALNUT STREET APT B, SPRINGFIELD, MO 65806
(402) 415-7148
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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