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1740551894
NICHOLAS ALEXANDER HORMAN
PUEBLO, CO
NPI
1740551894
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CO 1005)
Enumeration Date
2012-01-21
Last Update Date
2012-01-21
Business Address
-- NICHOLAS ALEXANDER HORMAN A.T.C
2200 BONFORTE BLVD
PUEBLO, CO 81001-4901
Phone number: 719-549-2431
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Mailing Address
-- NICHOLAS ALEXANDER HORMAN A.T.C
4150 PEBBLE RIDGE CIR APT 32
COLORADO SPRINGS, CO 80906-6506
Phone number: 512-466-7234
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