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1023272747
JASON DONALD MAIN
LONGMONT, CO
NPI
1023272747
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CO PTL.0012499)
Enumeration Date
2008-07-11
Last Update Date
2021-05-26
Business Address
Mr. JASON DONALD MAIN DPT
1610 DRY CREEK DR
LONGMONT, CO 80503-6405
Phone number: 720-494-4750
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Mailing Address
Mr. JASON DONALD MAIN DPT
2500 E PROSPECT RD
FORT COLLINS, CO 80525-9718
Phone number: 970-493-0112
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