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Individual

VICTORIA C PATTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
401 US HWY 50 E, AVONDALE, CO 81022
(719) 431-1738
Mailing address
401 US HWY 50 E, PO BOX 216, AVONDALE, CO 81022
(719) 431-1738

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0001071
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2000006571
ATHLETIC TRAINING BOARD OF CERTIFICATION
CO
Enumeration date
08/29/2012
Last updated
08/29/2012
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