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1114124625
DARYL MOORE
COLORADO SPRINGS, CO
NPI
1114124625
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2007-06-28
Last Update Date
2007-07-08
Business Address
-- DARYL MOORE PTA
2375 TELSTAR DR STE 110
COLORADO SPRINGS, CO 80920-1028
Phone number: 719-590-7777
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Mailing Address
-- DARYL MOORE PTA
6979 S HOLLY CIR STE 105
CENTENNIAL, CO 80112-1577
Phone number: 303-694-2295
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