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1427400498
MICAHEL DELUCA
FORT COLLINS, CO
NPI
1427400498
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2016-07-01
Last Update Date
2016-07-01
Business Address
-- MICAHEL DELUCA
141 MOBY ARENA
FORT COLLINS, CO 80523-0001
Phone number: 970-491-6756
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Mailing Address
-- MICAHEL DELUCA
2802 IOWA DR UNIT 104
FORT COLLINS, CO 80525-4344
Phone number:
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