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1174867295
STACEY EDWARDS
FORT COLLINS, CO
NPI
1174867295
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO 12391)
Enumeration Date
2012-11-15
Last Update Date
2012-11-15
Business Address
-- STACEY EDWARDS PTA
3737 LANDINGS DR A4
FORT COLLINS, CO 80525-3159
Phone number: 720-299-4458
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Mailing Address
-- STACEY EDWARDS PTA
3737 LANDINGS DR A4
FORT COLLINS, CO 80525-3159
Phone number: 720-299-4458
Copy
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