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1053972612
IAN JOSIAH DAVIS
WINDSOR, CO
NPI
1053972612
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CO PTL.0016445)
Enumeration Date
2019-06-25
Last Update Date
2019-06-25
Business Address
IAN JOSIAH DAVIS DPT
1159 MAIN ST UNIT A
WINDSOR, CO 80550-4711
Phone number: 970-460-0066
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Mailing Address
IAN JOSIAH DAVIS DPT
1550 S HAYMAKER DR
MILLIKEN, CO 80543-8324
Phone number: 970-218-3630
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