GREGORY LEE GAA

PEORIA, IL
NPI1770085995
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.000291)
Enumeration Date2018-03-03
Last Update Date2018-03-17
Business Address
GREGORY LEE GAA ATC, CSCS
7800 N SOMMER ST STE 608
PEORIA, IL 61615-1968
Phone number: 303-676-5546
Mailing Address
GREGORY LEE GAA ATC, CSCS
303 N WILLIAM KUMPF BLVD
PEORIA, IL 61605-2507
Phone number: 306-676-5545
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