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1003305319
AUSTIN MICHAEL LAKE
GREELEY, CO
NPI
1003305319
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CO 14911)
Enumeration Date
2018-05-02
Last Update Date
2020-03-04
Business Address
DR. AUSTIN MICHAEL LAKE PT, DPT
4681 W 20TH ST UNIT 202B
GREELEY, CO 80634
Phone number: 720-331-3687
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Mailing Address
DR. AUSTIN MICHAEL LAKE PT, DPT
2212 34TH AVE
GREELEY, CO 80634-7547
Phone number: 720-331-3687
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