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1265496194
KIMBERLY R DETWILER
BOULDER, CO
NPI
1265496194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CO AT.0001754)
Enumeration Date
2006-04-17
Last Update Date
2019-04-09
Business Address
KIMBERLY R DETWILER MS, LAT, ATC, CSCS
2150 STADIUM DRIVE
BOULDER, CO 80309-7059
Phone number: 512-230-6171
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Mailing Address
KIMBERLY R DETWILER MS, LAT, ATC, CSCS
1166 OPAL ST UNIT 102
BROOMFIELD, CO 80020-7059
Phone number: 512-230-6171
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