Individual
MR. DUSTIN RAY LENORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5102 SLEEPY PT, WILLIS, TX 77318-7918
(936) 577-7368
Mailing address
5102 SLEEPY PT, WILLIS, TX 77318-7918
(936) 577-7368
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3866
TX
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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