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1437991775
WYATT DITTMAR
LAKEWOOD, CO
NPI
1437991775
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: CO MT.0026395)
Enumeration Date
2024-06-08
Last Update Date
2024-06-08
Business Address
WYATT DITTMAR
8805 W 14TH AVE STE 320
LAKEWOOD, CO 80215-4850
Phone number: 260-241-4531
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Mailing Address
WYATT DITTMAR
8861 W LOUISIANA PL
LAKEWOOD, CO 80232-5214
Phone number: 260-241-4531
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