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1609219914
STEPHEN J FANTAUZZO
DENVER, CO
NPI
1609219914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
222Z00000X Orthotist
Enumeration Date
2013-04-17
Last Update Date
2013-04-17
Business Address
Mr. STEPHEN J FANTAUZZO C.O.
7100 BROADWAY SUITE 2E
DENVER, CO 80221-2915
Phone number: 303-316-2615
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Mailing Address
Mr. STEPHEN J FANTAUZZO C.O.
1454 STERLING HILL CT
CASTLE ROCK, CO 80104-7605
Phone number: 303-907-9686
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