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Individual

ERIC J. DYBVIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
600 1ST ST NW, MOUNT VERNON, IA 52314-1006
(319) 558-4009
Mailing address
1315 14TH ST, MARION, IA 52302-2565
(319) 895-4009

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00523
IA

Other

Enumeration date
05/21/2007
Last updated
07/08/2007
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