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1053019950
JUSTIN THOMPSON
CARBONDALE, CO
NPI
1053019950
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2023-02-20
Last Update Date
2023-02-20
Business Address
JUSTIN THOMPSON
1226 IVY LN
CARBONDALE, CO 81623-2300
Phone number: 970-618-6932
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Mailing Address
JUSTIN THOMPSON
1226 IVY LN
CARBONDALE, CO 81623-2300
Phone number: 970-618-6932
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