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1295255321
GREG B FETTERS
LAKEWOOD, CO
NPI
1295255321
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO PTA.0014098)
Enumeration Date
2017-06-20
Last Update Date
2017-06-20
Business Address
GREG B FETTERS PTA
1021 CARR ST APT 28
LAKEWOOD, CO 80214-4084
Phone number: 417-825-0229
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Mailing Address
GREG B FETTERS PTA
1021 CARR ST APT 28
LAKEWOOD, CO 80214-4084
Phone number:
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