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1063168516
KRISTOPHER W. BASGALL
COLORADO SPRINGS, CO
NPI
1063168516
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CO AT.0001634)
Enumeration Date
2022-02-23
Last Update Date
2022-02-23
Business Address
KRISTOPHER W. BASGALL MSS, ATC/L, EMT
5623 PULPIT PEAK VW
COLORADO SPRINGS, CO 80918-3954
Phone number: 803-834-9934
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Mailing Address
KRISTOPHER W. BASGALL MSS, ATC/L, EMT
5623 PULPIT PEAK VW
COLORADO SPRINGS, CO 80918-3954
Phone number: 803-834-9934
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