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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CYNTHIA LEE DEDEAUX, ATC

Active Sole Proprietor

CYNTHIA LEE DEDEAUX, ATC is a Athletic Trainer healthcare provider located in KILN, Mississippi. NPI 1922338037 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · KILN, MS

Registration Details

NPI Number
1922338037
Provider Type
Individual
Gender
Female
NPI Issued
Jan 12, 2010 (16.550074707221 yrs)
Last Updated
Jan 12, 2010
License
AT0044 (MS)
Sole Proprietor
Yes

Practice Information

Address
21271 LAWRENCE LADNER RD
KILN, MS, 395566490
Browse MS providers · Browse ZIP 39556
Phone
2284938514
Fax
2282552515
Primary Specialty
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.