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1043633605
SUSAN BENNETT
DURANGO, CO
NPI
1043633605
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO PTA.0012146)
Enumeration Date
2014-01-31
Last Update Date
2014-01-31
Business Address
Ms. SUSAN BENNETT
2314 FOREST AVE
DURANGO, CO 81301-4867
Phone number: 970-375-6471
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Mailing Address
Ms. SUSAN BENNETT
2314 FOREST AVE
DURANGO, CO 81301-4867
Phone number: 970-375-6471
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