Individual
LEIGH ANNE KATHLEEN DYCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2235 S JACKSON ST, SAN ANGELO, TX 76904-5131
(325) 486-6476
Mailing address
714 E 23RD ST, SAN ANGELO, TX 76903-2614
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT9744
TX
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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