Individual
MR. LEE ROWE STANSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
823 S 17TH ST, CLARINDA, IA 51632-2625
(712) 542-8224
Mailing address
PO BOX 401, CLARINDA, IA 51632-0401
(712) 303-0622
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
S57197000
IA
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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