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1053963835
DEVANTE LORENZO FRAZIER
FORT COLLINS, CO
NPI
1053963835
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CO AT.0002029)
Enumeration Date
2019-07-12
Last Update Date
2019-07-12
Business Address
DEVANTE LORENZO FRAZIER ATC
141 MOBY ARENA
FORT COLLINS, CO 80523-0001
Phone number: 970-491-6756
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Mailing Address
DEVANTE LORENZO FRAZIER ATC
2001 ROSEN DR APT 1-206
FORT COLLINS, CO 80528-2001
Phone number:
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