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1174207781
TARA K PUCCIO
BOULDER, CO
NPI
1174207781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CO PTL0006049)
Enumeration Date
2023-06-14
Last Update Date
2023-06-14
Business Address
TARA K PUCCIO PT
2800 PALO PKWY
BOULDER, CO 80301-1540
Phone number: 303-440-9100
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Mailing Address
TARA K PUCCIO PT
1692 RELIANCE CIR
SUPERIOR, CO 80027-4405
Phone number: 303-917-1029
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