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Individual

MR. ANDY PAUL GODISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
2202 FALKIRK DR, COLORADO SPRINGS, CO 80910-3266
(814) 659-7105
Mailing address
2202 FALKIRK DR, COLORADO SPRINGS, CO 80910-3266
(814) 659-7105

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0001483
CO

Other

Enumeration date
03/12/2018
Last updated
03/12/2018
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