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Derek Gustovich
NPI 1689221004 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1465 Morris St
Mineral Ridge, OH 44440 - Phone
- (330) 766-5630
Registry record
- Primary taxonomy
- Student in an Organized Health Care Education/Training Program
390200000X
- Also registered as
- Athletic Trainer
- Sex
- Male
- Record last updated
- 2019-08-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio