Individual
ANGELA MARIE LEETE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
605 WASHINGTON ST, FAYETTE, IA 52142-9206
(563) 425-5782
Mailing address
509 COLUMBIA AVE, SUMNER, IA 50674-1639
(563) 578-3355
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00387
IA
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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