DOMINIC LEE DI MANNA

LAKEWOOD, CO
NPI1891128625
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CO  666)
Enumeration Date2013-08-15
Last Update Date2013-08-15
Business Address
Mr. DOMINIC LEE DI MANNA ATC-R
13253 W UTAH CIR
LAKEWOOD, CO 80228-4227
Phone number: 303-912-4530
Mailing 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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