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Individual

LEIGH SPRING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1312 GRANVILLE PIKE, LANCASTER, OH 43130
(740) 681-7500
Mailing address
213 S CEDAR AVE, LANCASTER, OH 43130-3516
(740) 704-7170

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003633
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2255A2300X
ATHLETIC TRAINER
OH
Enumeration date
12/26/2017
Last updated
06/16/2018
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