BO C LEONARD

LOCKPORT, IL
NPI1093784407
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
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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