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1255054367
GUSTAVO DANIEL MOSQUEDA-CUELLAR
COLORADO SPRINGS, CO
NPI
1255054367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO 0015242)
Enumeration Date
2022-09-22
Last Update Date
2022-09-22
Business Address
GUSTAVO DANIEL MOSQUEDA-CUELLAR
3920 N UNION BLVD STE 160
COLORADO SPRINGS, CO 80907-4907
Phone number: 719-471-4221
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Mailing Address
GUSTAVO DANIEL MOSQUEDA-CUELLAR
7651 SANDY SPRINGS PT
FOUNTAIN, CO 80817-4078
Phone number: 970-630-2899
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