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1184113995
ZADRA MADISON WARD
PUEBLO, CO
NPI
1184113995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO PTA.0014383)
Enumeration Date
2018-05-07
Last Update Date
2018-05-07
Business Address
ZADRA MADISON WARD
1721 W US HIGHWAY 50 STE 210
PUEBLO, CO 81008-1692
Phone number: 719-577-4104
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Mailing Address
ZADRA MADISON WARD
3017 8TH AVE
PUEBLO, CO 81008-1218
Phone number: 719-569-2273
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