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1063741619
LEO J. MILLER
CEDAR RAPIDS, IA
NPI
1063741619
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA 000723)
Enumeration Date
2009-12-10
Last Update Date
2009-12-10
Business Address
Mr. LEO J. MILLER ATC, LAT
1026 A AVE NE
CEDAR RAPIDS, IA 52402-5036
Phone number: 319-369-7211
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Mailing Address
Mr. LEO J. MILLER ATC, LAT
1100 ROCKFORD RD SW
CEDAR RAPIDS, IA 52404-1858
Phone number: 319-261-0110
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