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1518590702
JUDITH M BASOW
FORT COLLINS, CO
NPI
1518590702
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CO Mt0000622)
Enumeration Date
2020-02-17
Last Update Date
2020-02-17
Business Address
JUDITH M BASOW
3825 ARCTIC FOX DR
FORT COLLINS, CO 80525-3536
Phone number: 970-689-4419
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Mailing Address
JUDITH M BASOW
3825 ARCTIC FOX DR
FORT COLLINS, CO 80525-3536
Phone number: 970-689-4419
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