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1033695697
VERNALISA PRUTCH
PUEBLO, CO
NPI
1033695697
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CO 0000490)
Enumeration Date
2018-07-17
Last Update Date
2018-07-17
Business Address
VERNALISA PRUTCH
3727 PARKER BLVD
PUEBLO, CO 81008-2218
Phone number: 719-585-3400
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Mailing Address
VERNALISA PRUTCH
3727 PARKER BLVD
PUEBLO, CO 81008-2218
Phone number:
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