LESLIE JOHN MITKOS

CAMP LEJEUNE, NC
NPI1174964761
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.002508)
Enumeration Date2013-07-11
Last Update Date2017-03-21
Business Address
Mr. LESLIE JOHN MITKOS ATC
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547-2575
Phone number: 910-449-0324
Mailing Address
Mr. LESLIE JOHN MITKOS ATC
619 CASTINE WAY
WILMINGTON, NC 28412-2763
Phone number: 217-494-7415