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1225075617
TAMMY DALE
MONUMENT, CO
NPI
1225075617
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: CO 0289267)
Enumeration Date
2006-06-02
Last Update Date
2007-07-08
Business Address
-- TAMMY DALE otr
495 E KINGS DEER PT
MONUMENT, CO 80132-2815
Phone number: 719-640-2818
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Mailing Address
-- TAMMY DALE otr
495 E KINGS DEER PT
MONUMENT, CO 80132-2815
Phone number: 719-640-2818
Copy
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