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1124335815
JLA SENIOR FOOTCARE CO LLC
LOVELAND, CO
NPI
1124335815
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Entity Type
Organization
Authorized Contact
ANTHONY INNOCENZI
Owner
330-702-0978
Organization Subpart ?
No
Primary Taxonomy
213ES0131X Podiatrist Foot Surgery
(Licence: CO 700)
Enumeration Date
2010-09-02
Last Update Date
2010-09-02
Business Address
JLA SENIOR FOOTCARE CO LLC
2101 S GARFIELD AVE
LOVELAND, CO 80537-7377
Phone number: 330-702-0978
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Mailing Address
JLA SENIOR FOOTCARE CO LLC
4870 S ASPEN CT
CANFIELD, OH 44406-8469
Phone number: 330-702-0978
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