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1649054362
FRED WORTH
PUEBLO, CO
NPI
1649054362
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO 0014563)
Enumeration Date
2023-08-23
Last Update Date
2023-08-23
Business Address
FRED WORTH
3715 THATCHER AVE STE B
PUEBLO, CO 81005-1255
Phone number: 719-470-2281
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Mailing Address
FRED WORTH
3715 THATCHER AVE STE B
PUEBLO, CO 81005-1255
Phone number: 719-470-2281
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