BO C LEONARD

LOCKPORT, IL
NPI1093784407
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096-002098)
Enumeration Date2006-03-16
Last Update Date2007-07-08
Business Address
Mr. BO C LEONARD ATC, MS
906 S STATE ST
LOCKPORT, IL 60441-3436
Phone number: 708-283-9765
Mailing Address
Mr. BO C LEONARD ATC, MS
906 S STATE ST
LOCKPORT, IL 60441-3436
Phone number: 708-283-9765
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