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1104070689
DEREK DITZLER MAIN
DENVER, CO
NPI
1104070689
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CO 7606)
Enumeration Date
2008-11-10
Last Update Date
2008-11-10
Business Address
DEREK DITZLER MAIN P.T.
563 S VINE ST
DENVER, CO 80209-4638
Phone number: 720-341-0840
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Mailing Address
DEREK DITZLER MAIN P.T.
563 S VINE ST
DENVER, CO 80209-4638
Phone number: 720-341-0840
Copy
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