MYLIE BROOKE LEATHERMAN

KISSIMMEE, FL
NPI1093254088
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL  AL4771)
Enumeration Date2017-02-23
Last Update Date2017-02-23
Business Address
-- MYLIE BROOKE LEATHERMAN LAT, ATC
700 S VICTORY WAY
KISSIMMEE, FL 34747
Phone number: 407-541-5600
Mailing Address
-- MYLIE BROOKE LEATHERMAN LAT, ATC
PO BOX 471151
CELEBRATION, FL 34747-9151
Phone number:
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