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1326750035
PAUL DAUGHERTY
PUEBLO, CO
NPI
1326750035
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO PTA.0015015)
Enumeration Date
2022-12-14
Last Update Date
2022-12-14
Business Address
PAUL DAUGHERTY PTA
3715 THATCHER AVE
PUEBLO, CO 81005-1255
Phone number: 719-470-2281
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Mailing Address
PAUL DAUGHERTY PTA
3715 THATCHER AVE
PUEBLO, CO 81005-1255
Phone number: 719-470-2281
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