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1629492988
ELIAS LEVANWAY
RANCHO CUCAMONGA, CA
NPI
1629492988
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2014-02-07
Last Update Date
2014-02-07
Business Address
Mr. ELIAS LEVANWAY M.S., A.T.C., P.E.S.
11355 MOUNTAIN VIEW DR APT 12
RANCHO CUCAMONGA, CA 91730-7221
Phone number: 714-478-2699
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Mailing Address
Mr. ELIAS LEVANWAY M.S., A.T.C., P.E.S.
11355 MOUNTAIN VIEW DR APT 12
RANCHO CUCAMONGA, CA 91730-7221
Phone number: 714-478-2699
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