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Individual

MR. DUANE ALLEN MANZER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
2700 COLLEGE RD, COUNCIL BLUFFS, IA 51503-1057
(712) 256-6556
Mailing address
1102 N 49TH ST, OMAHA, NE 68132-1615
(402) 709-8920

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
438
NE
2255A2300X
Athletic Trainer
Primary
698
IA

Other

Enumeration date
01/22/2008
Last updated
02/22/2011
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