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1134435852
JORDAN PAUL LEEP
WACO, TX
NPI
1134435852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2010-08-19
Last Update Date
2010-08-19
Business Address
Mr. JORDAN PAUL LEEP ATC, LAT
1500 S UNIVERSITY PARKS DR
WACO, TX 76706-1211
Phone number: 254-710-1021
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Mailing Address
Mr. JORDAN PAUL LEEP ATC, LAT
1825 S 5TH ST APT 22
WACO, TX 76706-2409
Phone number: 937-215-0236
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