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1154105229
RICHARD BENJAMIN BENNETT
COLORADO SPRINGS, CO
NPI
1154105229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CO AT0002215)
Enumeration Date
2023-08-21
Last Update Date
2023-08-21
Business Address
RICHARD BENJAMIN BENNETT
14 E CACHE LA POUDRE ST
COLORADO SPRINGS, CO 80903-3243
Phone number: 719-389-6813
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Mailing Address
RICHARD BENJAMIN BENNETT
14 E CACHE LA POUDRE ST
COLORADO SPRINGS, CO 80903-3243
Phone number: 719-389-6813
Copy
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