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1730726951
JEANETTE ELLEN LEAL
GLENVILLE, WV
NPI
1730726951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IA 088931)
Enumeration Date
2019-12-06
Last Update Date
2024-05-22
Business Address
JEANETTE ELLEN LEAL LAT, ATC
200 HIGH ST
GLENVILLE, WV 26351-1200
Phone number: 304-462-7361
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Mailing Address
JEANETTE ELLEN LEAL LAT, ATC
907 WALNUT ST APT A
GLENVILLE, WV 26351-1355
Phone number:
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