TRYSTAN JAMES SELF

COLORADO SPRINGS, CO
NPI1750979852
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2021-01-05
Last Update Date2023-04-12
Business Address
TRYSTAN JAMES SELF IDMT
559 VINCENT ST
COLORADO SPRINGS, CO 80914-1541
Phone number: 719-556-5898
Mailing Address
TRYSTAN JAMES SELF IDMT
5955 WISTERIA DR
COLORADO SPRINGS, CO 80919-4411
Phone number:
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