LEAH MAE PATAKI

ROCKFORD, IL
NPI1790754422
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096-002042)
Enumeration Date2006-03-15
Last Update Date2007-07-08
Business Address
-- LEAH MAE PATAKI M.A., ATC, CWT
3301 N MULFORD RD
ROCKFORD, IL 61114-5640
Phone number: 815-921-3821
Mailing Address
-- LEAH MAE PATAKI M.A., ATC, CWT
7080 SUE CT
LOVES PARK, IL 61111-5369
Phone number: 815-316-8647
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