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1225765258
ANGELA DEROSIER
FOUNTAIN, CO
NPI
1225765258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO PTA.0015209)
Enumeration Date
2022-08-01
Last Update Date
2022-08-01
Business Address
ANGELA DEROSIER PTA
812 RIDGEBURY PL
FOUNTAIN, CO 80817-4715
Phone number: 470-585-2817
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Mailing Address
ANGELA DEROSIER PTA
812 RIDGEBURY PL
FOUNTAIN, CO 80817-4715
Phone number:
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