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1023093200
DANE M FARNWORTH
PUEBLO, CO
NPI
1023093200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CO PT 6541)
Enumeration Date
2005-12-12
Last Update Date
2007-07-08
Business Address
-- DANE M FARNWORTH PT
3525 SPAULDING AVE
PUEBLO, CO 81008-2208
Phone number: 719-542-4444
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Mailing Address
-- DANE M FARNWORTH PT
PO BOX 612260
SAN JOSE, CA 95161-2260
Phone number: 877-325-2776
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