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1699213314
KEN MAYNELL
AURORA, CO
NPI
1699213314
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CO OTA.0000752)
Enumeration Date
2017-02-01
Last Update Date
2017-02-01
Business Address
-- KEN MAYNELL
13123 E 16TH AVE
AURORA, CO 80045-7106
Phone number: 720-777-6645
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Mailing Address
-- KEN MAYNELL
3615 MARTIN LUTHER KING BLVD
DENVER, CO 80205-4976
Phone number: 720-777-6645
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