JEB CULHAM DAVIS

DURANGO, CO
NPI1942422910
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NM  290)
Enumeration Date2007-05-02
Last Update Date2015-02-22
Business Address
-- JEB CULHAM DAVIS ATC
837 OSO GRANDE DR
DURANGO, CO 81301-6599
Phone number: 505-948-6976
Mailing Address
-- JEB CULHAM DAVIS ATC
837 OSO GRANDE DR
DURANGO, CO 81301-6599
Phone number: 505-948-6976
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