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Individual

ANGELICA NAVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2200 BONFORTE BLVD, PUEBLO, CO 81001-4901
(719) 549-2530
Mailing address
1232 STONE AVE, PUEBLO, CO 81004-2944

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
11/05/2020
Last updated
11/05/2020
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