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1194224683
GLEN COPA
GRAND JUNCTION, CO
NPI
1194224683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: CO MT.0016926)
Enumeration Date
2018-02-09
Last Update Date
2018-02-09
Business Address
GLEN COPA MT
514 28 1/4 RD UNIT 4
GRAND JUNCTION, CO 81501-4961
Phone number: 970-644-5255
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Mailing Address
GLEN COPA MT
2309 1/2 PALACE VERDES DR
GRAND JUNCTION, CO 81507-1356
Phone number:
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