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1114793403
JENNIFER HARE
CANON CITY, CO
NPI
1114793403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CO PTL.0009572)
Enumeration Date
2023-11-28
Last Update Date
2023-11-28
Business Address
JENNIFER HARE DPT
515 FAIRVIEW AVE
CANON CITY, CO 81212-2863
Phone number: 719-275-0665
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Mailing Address
JENNIFER HARE DPT
515 FAIRVIEW AVE
CANON CITY, CO 81212-2863
Phone number: 719-275-0665
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