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1225696420
JENNIFER AGUSTIN CANARIA
COLORADO SPRINGS, CO
NPI
1225696420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CO OT.0005945)
Enumeration Date
2019-06-03
Last Update Date
2019-06-03
Business Address
JENNIFER AGUSTIN CANARIA OTR/L
12105 AMBASSADOR DR
COLORADO SPRINGS, CO 80921-3642
Phone number: 291-671-9602
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Mailing Address
JENNIFER AGUSTIN CANARIA OTR/L
6120 FAXON CT
COLORADO SPRINGS, CO 80922-1839
Phone number: 719-360-2804
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