Individual
KWAJALIEN U S DUERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7241 BIGTOOTH MAPLE DR, COLORADO SPRINGS, CO 80925-9497
(719) 761-3349
Mailing address
7241 BIGTOOTH MAPLE DR, COLORADO SPRINGS, CO 80925-9497
(719) 761-3349
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT9947
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
10/25/2021
Last updated
04/15/2026
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