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Individual

MICHELLE M MURPHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
6910 CARLTON DR, USAF ACADEMY, CO 80840-1799
(719) 491-1029
Mailing address
5646 BIG PAW HTS, COLORADO SPRINGS, CO 80919-3774

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0001712
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17-075-2836
BLUE CROSS BLUE SHIELD
CO
Enumeration date
03/14/2019
Last updated
12/01/2022
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