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1124374202
KERRI WISEMAN
BROOMFIELD, CO
NPI
1124374202
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO 12739)
Enumeration Date
2012-07-26
Last Update Date
2012-07-26
Business Address
-- KERRI WISEMAN PTA
400 SUMMIT BLVD
BROOMFIELD, CO 80021-8300
Phone number: 303-466-2422
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Mailing Address
-- KERRI WISEMAN PTA
1260 KALMIA AVE APT 12
BOULDER, CO 80304-1830
Phone number:
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