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1629478904
LUIS ALFONSO LEON
SACRAMENTO, CA
NPI
1629478904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2014-08-25
Last Update Date
2017-02-06
Business Address
LUIS ALFONSO LEON MA, ATC
7834 GRANDSTAFF DR
SACRAMENTO, CA 95823-4806
Phone number: 916-752-3285
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Mailing Address
LUIS ALFONSO LEON MA, ATC
7834 GRANDSTAFF DR
SACRAMENTO, CA 95823-4806
Phone number: 916-752-3285
Copy
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