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Individual

MR. JOHN R SALVATORE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
A.T.,C.

Contact information

Practice address
900 JIMMY CAMP RD, FOUNTAIN, CO 80817-4190
(719) 382-1640
Mailing address
1405 OLD WAGON RD, WOODLAND PARK, CO 80863-9204
(719) 540-0517
(719) 540-0517

Taxonomy

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

Other

Enumeration date
02/15/2006
Last updated
07/08/2007
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