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1104116003
BECKY JOANN MARTIN
PUEBLO, CO
NPI
1104116003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
(Licence: CO 311679605)
Enumeration Date
2011-04-12
Last Update Date
2015-05-20
Business Address
-- BECKY JOANN MARTIN PTA
100 SAN CARLOS RD APT 310
PUEBLO, CO 81005-2665
Phone number: 719-564-2370
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Mailing Address
-- BECKY JOANN MARTIN PTA
100 SAN CARLOS RD APT 310
PUEBLO, CO 81005-2665
Phone number: 719-564-2370
Copy
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