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1043772874
CONNOR LEICHTLE
IOWA CITY, IA
NPI
1043772874
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA 087833)
Enumeration Date
2019-04-01
Last Update Date
2019-04-01
Business Address
CONNOR LEICHTLE LAT, ATC
930 EVASHEVSKI DR
IOWA CITY, IA 52242-1186
Phone number: 262-355-6241
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Mailing Address
CONNOR LEICHTLE LAT, ATC
603 CABRINI CIR
WEST BEND, WI 53095-4623
Phone number: 262-355-6241
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