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Individual

LEAH J GOMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
785 RIVERSIDE AVE, ADRIAN, MI 49221-1467
(517) 673-1877
Mailing address
1302 BRAMBLEWOOD DR, TECUMSEH, MI 49286-7721
(517) 673-1877

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000730
MI

Other

Enumeration date
12/04/2017
Last updated
12/04/2017
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