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1356940027
ERIC A BUCCELLO
BROOMFIELD, CO
NPI
1356940027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO PTA.0014887)
Enumeration Date
2020-10-22
Last Update Date
2020-10-22
Business Address
ERIC A BUCCELLO PTA
369 ELDORADO BLVD UNIT 324
BROOMFIELD, CO 80021-3766
Phone number: 623-255-9520
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Mailing Address
ERIC A BUCCELLO PTA
369 ELDORADO BLVD UNIT 324
BROOMFIELD, CO 80021-3766
Phone number: 623-255-9520
Copy
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