Individual
DEVANTE LORENZO FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
141 MOBY ARENA, FORT COLLINS, CO 80523-0001
(970) 491-6756
Mailing address
2001 ROSEN DR APT 1-206, FORT COLLINS, CO 80528-2001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0002029
CO
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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