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1205068517
ANGELA D HANNULA
BASALT, CO
NPI
1205068517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CO PTL10444)
Enumeration Date
2009-08-20
Last Update Date
2022-04-20
Business Address
ANGELA D HANNULA DPT
200 ROBINSON ST STE D300
BASALT, CO 81621-8464
Phone number: 970-718-7100
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Mailing Address
ANGELA D HANNULA DPT
PO BOX 40000
VAIL, CO 81658-7520
Phone number: 970-476-2451
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