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1538381488
COREY WAYNE LEO
GREELEY, CO
NPI
1538381488
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 85002510)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
Mr. COREY WAYNE LEO PA-C
1801 16TH ST BOX 5180
GREELEY, CO 80631-5154
Phone number: 970-350-6066
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Mailing Address
Mr. COREY WAYNE LEO PA-C
2607 MCDANIEL AVE
EVANSTON, IL 60201-1407
Phone number: 319-321-2575
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