IVAN JIMENEZ

PUEBLO, CO
NPI1013671874
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2021-10-27
Last Update Date2021-10-27
Business Address
IVAN JIMENEZ
1817 YAKIMA LN
PUEBLO, CO 81001-1513
Phone number: 719-243-6300
Mailing Address
IVAN JIMENEZ
1817 YAKIMA LN
PUEBLO, CO 81001-1513
Phone number: 719-243-6300
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