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1891128625
DOMINIC LEE DI MANNA
LAKEWOOD, CO
NPI
1891128625
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: CO 666)
Enumeration Date
2013-08-15
Last Update Date
2013-08-15
Business Address
MR. DOMINIC LEE DI MANNA ATC-R
13253 W UTAH CIR
LAKEWOOD, CO 80228-4227
Phone number: 303-912-4530
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Mailing Address
MR. DOMINIC LEE DI MANNA ATC-R
13253 W UTAH CIR
LAKEWOOD, CO 80228-4227
Phone number: 303-912-4530
Copy
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