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1649093683
NICHOLAS SHAHMOHAMMADI
PUEBLO, CO
NPI
1649093683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO PTA.0014131)
Enumeration Date
2024-11-07
Last Update Date
2024-11-07
Business Address
NICHOLAS SHAHMOHAMMADI
1301 FORTINO BLVD
PUEBLO, CO 81008-2032
Phone number: 719-696-7799
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Mailing Address
NICHOLAS SHAHMOHAMMADI
2233 ACADEMY PL STE 200
COLORADO SPRINGS, CO 80909-1666
Phone number:
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