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Individual

DANIELLE D LEONARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAT

Contact information

Practice address
1200 SYCAMORE ST, WAXAHACHIE, TX 75165-2397
(972) 923-5477
(972) 923-8191
Mailing address
1200 SYCAMORE ST, WAXAHACHIE, TX 75165-2397
(972) 923-5477
(972) 923-8191

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4046
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AT4046
ATHLETIC TRAINER
TX
Enumeration date
04/18/2017
Last updated
04/18/2017
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