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1225884976
KELLIE JAKUBOWICZ
PUEBLO, CO
NPI
1225884976
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Former Name
KELLIE GOMAS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CO PTL0003527)
Enumeration Date
2024-04-24
Last Update Date
2024-04-24
Business Address
KELLIE JAKUBOWICZ
3676 PARKER BLVD
PUEBLO, CO 81008-2212
Phone number: 719-553-1804
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Mailing Address
KELLIE JAKUBOWICZ
PO BOX 9000
PUEBLO, CO 81008-9000
Phone number: 719-553-2200
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