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1003438094
BRET CORY BISHOP
PUEBLO, CO
NPI
1003438094
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO PTA.0014491)
Enumeration Date
2020-05-12
Last Update Date
2020-05-12
Business Address
BRET CORY BISHOP PTA
3727 PARKER BLVD
PUEBLO, CO 81008-2218
Phone number: 719-584-4000
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Mailing Address
BRET CORY BISHOP PTA
113 COMANCHE CT
FOUNTAIN, CO 80817-1693
Phone number: 435-310-0841
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