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1346258639
TIMOTHY E. COLBERT
CLEVELAND, MS
NPI
1346258639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS 0166)
Enumeration Date
2006-08-03
Last Update Date
2007-07-08
Business Address
Mr. TIMOTHY E. COLBERT ATC
630 JANE ST
CLEVELAND, MS 38732-2020
Phone number: 662-719-9153
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Mailing Address
Mr. TIMOTHY E. COLBERT ATC
630 JANE ST
CLEVELAND, MS 38732-2020
Phone number: 662-719-9153
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