Individual
LESLIE J DUININK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
812 UNIVERSITY ST, CAMPUS BOX 6600, PELLA, IA 50219-1902
(641) 628-7643
(641) 628-5356
Mailing address
812 UNIVERSITY ST, CAMPUS BOX 6600, PELLA, IA 50219-1902
(641) 628-7643
(641) 628-5356
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00198
IA
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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