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Individual

MR. JOHN LEWIS THOMAS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
29651 FAIRWAY DR, EVERGREEN, CO 80439-7448
(720) 689-5409
Mailing address
29651 FAIRWAY DR, EVERGREEN, CO 80439-7448
(720) 689-5409

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0000623
CO

Other

Enumeration date
11/04/2025
Last updated
11/04/2025
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