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1023473022
LANNY LEROY
ATCHISON, KS
NPI
1023473022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: KS 24-00083)
Enumeration Date
2015-12-18
Last Update Date
2015-12-18
Business Address
LANNY LEROY ATC
1020 N 2ND ST
ATCHISON, KS 66002-1402
Phone number: 913-360-7541
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Mailing Address
LANNY LEROY ATC
1020 N 2ND ST
ATCHISON, KS 66002-1402
Phone number: 913-360-7541
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