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Individual

PATRICK CHACE DONATHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC, OTC

Contact information

Practice address
14000 E ARAPAHOE RD, #300, CENTENNIAL, CO 80112-4043
(720) 979-0840
(303) 690-5948
Mailing address
14000 E ARAPAHOE RD, #300, CENTENNIAL, CO 80112-4043
(720) 979-0840
(303) 690-5948

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1034
CO
246Z00000X
Other Specialist/Technologist
11-0206

Other

Enumeration date
04/13/2012
Last updated
04/13/2012
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