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1437176120
TERRY L DEZEEUW
FORT COLLINS, CO
NPI
1437176120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36000536A)
Enumeration Date
2006-07-17
Last Update Date
2007-07-08
Business Address
Mr. TERRY L DEZEEUW ATC
COLORADO STATE UNIVERSITY MCGRAW ATHLETIC CENTER
FORT COLLINS, CO 80523-0001
Phone number: 970-491-6756
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Mailing Address
Mr. TERRY L DEZEEUW ATC
COLORADO STATE UNIVERSITY MCGRAW ATHLETIC CENTER
FORT COLLINS, CO 80523-0001
Phone number: 970-491-6756
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