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Individual

FORREST STEVEN LEITERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3601 4TH ST # MS 6226, LUBBOCK, TX 79430-0002
(707) 362-7859
Mailing address
2421 QUINTON AVE APT 101, LUBBOCK, TX 79410-1734
(707) 362-7859

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
06/25/2024
Last updated
06/25/2024
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