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1154995785
LAURA LOPEZ
PUEBLO, CO
NPI
1154995785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO PTA.0012714)
Enumeration Date
2021-05-18
Last Update Date
2021-05-18
Business Address
LAURA LOPEZ PTA
100 SAN CARLOS RD
PUEBLO, CO 81005-2651
Phone number: 719-568-9536
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Mailing Address
LAURA LOPEZ PTA
3802 PRONGHORN LN
PUEBLO, CO 81005-3064
Phone number: 719-429-5827
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