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Individual

MR. BENJAMIN RAY COLWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, ATC, CSCS

Contact information

Practice address
33 STAFFORD INDIANS LN, FALMOUTH, VA 22405-5803
(540) 371-7200
Mailing address
33 STAFFORD INDIANS LN, FALMOUTH, VA 22405-5803
(540) 371-7200

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000901
VA

Other

Enumeration date
01/09/2013
Last updated
01/09/2013
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