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1043608789
ANTHONY LEO
MINNEAPOLIS, MN
NPI
1043608789
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MN 2642)
Enumeration Date
2015-01-05
Last Update Date
2015-01-05
Business Address
ANTHONY LEO ATC/L
1 TWINS WAY
MINNEAPOLIS, MN 55403-1418
Phone number: 612-659-3692
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Mailing Address
ANTHONY LEO ATC/L
411 FAIRFIELD CT
SCHAUMBURG, IL 60193-2913
Phone number: 847-524-4121
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