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1275923187
TIMOTHY J CUDDEBACK
AURORA, CO
NPI
1275923187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CO AT.0001440)
Enumeration Date
2015-01-30
Last Update Date
2015-12-11
Business Address
-- TIMOTHY J CUDDEBACK MS, ATC, CSCS
13123 E 16TH AVE 102
AURORA, CO 80045-7106
Phone number: 434-249-2447
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Mailing Address
-- TIMOTHY J CUDDEBACK MS, ATC, CSCS
13333 EAST ASBURY DRIVE 102
AURORA, CO 80014
Phone number: 434-249-2447
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