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Individual

MS. SUSAN MARIE TYMKEW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., A.T.,C./L

Contact information

Practice address
3835 DINOSAUR ST, CASTLE ROCK, CO 80109-3630
(303) 520-1138
Mailing address
3835 DINOSAUR ST, CASTLE ROCK, CO 80109-3630
(303) 520-1138

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
611
CO

Other

Enumeration date
11/03/2011
Last updated
11/03/2011
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