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1205373602
MARY FAUSSETT
BROOMFIELD, CO
NPI
1205373602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QR0400X Clinic/Center, Rehabilitation
(Licence: CO OT.0001533)
Enumeration Date
2017-01-23
Last Update Date
2017-01-23
Business Address
-- MARY FAUSSETT MOTR/L, CHT
8401 ARISTA PL
BROOMFIELD, CO 80021-4154
Phone number: 720-777-9188
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Mailing Address
-- MARY FAUSSETT MOTR/L, CHT
2026 JUNIPER WAY
ERIE, CO 80516-7966
Phone number: 720-273-7532
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