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1316165954
GWYNETH SHORT
DENVER, CO
NPI
1316165954
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2007-04-20
Last Update Date
2007-07-08
Business Address
GWYNETH SHORT ATC
1776 S JACKSON ST STE 616
DENVER, CO 80210-3805
Phone number: 303-221-0162
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Mailing Address
GWYNETH SHORT ATC
1519 S LEE ST
LAKEWOOD, CO 80232-6342
Phone number: 303-988-9204
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