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Individual

DAVID R LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
14875 NW 61ST ST, PARKVILLE, MO 64152-3828
(303) 596-2126
Mailing address
14875 NW 61ST ST, PARKVILLE, MO 64152-3828
(303) 596-2126

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1558325670
ATHLETIC TRAINING
CO
Enumeration date
04/14/2006
Last updated
01/19/2017
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