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1205121183
JEREMIAH BUTLER
COLORADO SPRINGS, CO
NPI
1205121183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WY PTA-0599)
Enumeration Date
2011-06-18
Last Update Date
2011-06-18
Business Address
-- JEREMIAH BUTLER
8540 SCARBOROUGH DR
COLORADO SPRINGS, CO 80920-7502
Phone number: 719-630-7500
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Mailing Address
-- JEREMIAH BUTLER
18 CASTLE ROYAL DR
PUEBLO, CO 81005-2109
Phone number: 303-594-8433
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