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1013742782
MARY E LEAFBLAD
DALLAS, TX
NPI
1013742782
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT5474)
Enumeration Date
2024-09-03
Last Update Date
2024-09-03
Business Address
MARY E LEAFBLAD ATC, LAT
14606 DALLAS PKWY APT 1100
DALLAS, TX 75254-7451
Phone number: 715-379-5838
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Mailing Address
MARY E LEAFBLAD ATC, LAT
14606 DALLAS PKWY APT 1100
DALLAS, TX 75254-7451
Phone number: 715-379-5838
Copy
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