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Individual

SHAUN CARMODY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
1200 CRESTA RD, COLORADO SPRINGS, CO 80906-1622
(719) 475-6110
Mailing address
3755 E CRESTA LOMA CIR, COLORADO SPRINGS, CO 80911-1303
(719) 390-1312

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0000738
CO

Other

Enumeration date
01/19/2017
Last updated
01/19/2017
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