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Individual
DR. LES DUTKO
Active
Individual
DR. LES DUTKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.D., LAT, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000603
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0126000603
LICSENED ATHLETIC TRAINER
VA
Enumeration date
08/15/2005
Last updated
07/31/2009
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