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1942422910
JEB CULHAM DAVIS
DURANGO, CO
NPI
1942422910
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NM 290)
Enumeration Date
2007-05-02
Last Update Date
2015-02-22
Business Address
JEB CULHAM DAVIS ATC
837 OSO GRANDE DR
DURANGO, CO 81301-6599
Phone number: 505-948-6976
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Mailing Address
JEB CULHAM DAVIS ATC
837 OSO GRANDE DR
DURANGO, CO 81301-6599
Phone number: 505-948-6976
Copy
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