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1225575913
SHAUN CARMODY
COLORADO SPRINGS, CO
NPI
1225575913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CO AT.0000738)
Enumeration Date
2017-01-19
Last Update Date
2017-01-19
Business Address
-- SHAUN CARMODY ATC
1200 CRESTA RD
COLORADO SPRINGS, CO 80906-1622
Phone number: 719-475-6110
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Mailing Address
-- SHAUN CARMODY ATC
3755 E CRESTA LOMA CIR
COLORADO SPRINGS, CO 80911-1303
Phone number: 719-390-1312
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