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1699791079
KATHLEEN LEVANDOSKI
PORTAGE, IN
NPI
1699791079
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2006-07-15
Last Update Date
2007-07-08
Business Address
-- KATHLEEN LEVANDOSKI ATC/L
6154 LUTE RD
PORTAGE, IN 46368-5010
Phone number: 219-762-1957
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Mailing Address
-- KATHLEEN LEVANDOSKI ATC/L
6154 LUTE RD
PORTAGE, IN 46368-5010
Phone number:
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