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1063457331
ELLEN L. CORNETT
PUEBLO, CO
NPI
1063457331
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: 487819)
Enumeration Date
2006-06-19
Last Update Date
2007-07-08
Business Address
ELLEN L. CORNETT OTR
1600 W 24TH ST
PUEBLO, CO 81003-1411
Phone number: 719-546-4409
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Mailing Address
ELLEN L. CORNETT OTR
1600 W 24TH ST
PUEBLO, CO 81003-1411
Phone number: 719-546-4409
Copy
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