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1003655499
ETHAN ALEXANDER SUTTON
DURANGO, CO
NPI
1003655499
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO 0015448)
Enumeration Date
2024-05-23
Last Update Date
2024-05-23
Business Address
ETHAN ALEXANDER SUTTON PTA
589 TRIMBLE LN
DURANGO, CO 81301-7101
Phone number: 970-259-2547
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Mailing Address
ETHAN ALEXANDER SUTTON PTA
589 TRIMBLE LN
DURANGO, CO 81301-7101
Phone number:
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