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1003081993
MARZELLE CLAASSEN BLACK
WOODLAND PARK, CO
NPI
1003081993
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT1649)
Enumeration Date
2008-04-23
Last Update Date
2020-03-27
Business Address
Mrs. MARZELLE CLAASSEN BLACK PT
16420 W US HIGHWAY 24
WOODLAND PARK, CO 80863-8760
Phone number: 719-374-6172
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Mailing Address
Mrs. MARZELLE CLAASSEN BLACK PT
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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