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1679041735
JOHN RUSSELL STRAUB
FOUNTAIN, CO
NPI
1679041735
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CO 0002098)
Enumeration Date
2018-11-07
Last Update Date
2022-05-09
Business Address
JOHN RUSSELL STRAUB
200 COMANCHE VILLAGE DR
FOUNTAIN, CO 80817-1651
Phone number: 719-749-8251
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Mailing Address
JOHN RUSSELL STRAUB
200 COMANCHE VILLAGE DR
FOUNTAIN, CO 80817-1651
Phone number: 719-749-8251
Copy
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