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1144593872
NATHANIEL FOSTER
LONGMONT, CO
NPI
1144593872
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 8792)
Enumeration Date
2012-02-10
Last Update Date
2012-02-10
Business Address
-- NATHANIEL FOSTER PTA
205 S MAIN ST SUITE C
LONGMONT, CO 80501-1716
Phone number: 303-702-1612
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Mailing Address
-- NATHANIEL FOSTER PTA
105 E CHESTER ST APARTMENT A
LAFAYETTE, CO 80026-1191
Phone number: 513-602-0928
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