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1225542004
KEVIN LICHNER
GREELEY, CO
NPI
1225542004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: CO AT.0001867)
Enumeration Date
2017-11-30
Last Update Date
2018-07-23
Business Address
KEVIN LICHNER ATC
522 28TH AVE
GREELEY, CO 80634
Phone number: 970-286-4188
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Mailing Address
KEVIN LICHNER ATC
522 28TH AVE
GREELEY, CO 80634-2635
Phone number:
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