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1427562685
BENJAMIN MOORE
GREENWOOD VILLAGE, CO
NPI
1427562685
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CO PTA.0014262)
Enumeration Date
2017-11-27
Last Update Date
2017-11-27
Business Address
BENJAMIN MOORE PTA
8301 E PRENTICE AVE STE 207
GREENWOOD VILLAGE, CO 80111-2905
Phone number: 303-322-8300
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Mailing Address
BENJAMIN MOORE PTA
462 W HOMEWAY LOOP
CITRUS SPRINGS, FL 34434-8040
Phone number:
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