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1548663768
KILEY STAVNES
LONGMONT, CO
NPI
1548663768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CO 0001258)
Enumeration Date
2014-10-01
Last Update Date
2014-10-01
Business Address
-- KILEY STAVNES
1551 PROFESSIONAL LN SUITE 200
LONGMONT, CO 80501-6972
Phone number: 303-772-1600
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Mailing Address
-- KILEY STAVNES
4905 HAHNS PEAK DR UNIT 204
LOVELAND, CO 80538-6008
Phone number:
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