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1952085292
CODY ANDREIS
PUEBLO, CO
NPI
1952085292
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: CO AT.0002476)
Enumeration Date
2023-06-14
Last Update Date
2023-06-14
Business Address
CODY ANDREIS LAT, ATC
2200 BONFORTE BLVD
PUEBLO, CO 81001-4901
Phone number: 719-242-4364
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Mailing Address
CODY ANDREIS LAT, ATC
1316 N RAYNOLDS AVE
CANON CITY, CO 81212-8425
Phone number: 719-242-4364
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