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1639957483
MIRANDA GOEDTKE
COLORADO SPRINGS, CO
NPI
1639957483
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 8363)
Enumeration Date
2023-09-21
Last Update Date
2023-09-21
Business Address
MIRANDA GOEDTKE
5775 N UNION BLVD
COLORADO SPRINGS, CO 80918-1744
Phone number: 719-434-7044
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Mailing Address
MIRANDA GOEDTKE
2450 MOUNTAIN PINE LN
COLORADO SPRINGS, CO 80921-2007
Phone number:
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