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1699557017
JOHN NATHAN VANVYNCKT
COLORADO SPRINGS, CO
NPI
1699557017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO PTA.0015428)
Enumeration Date
2023-10-19
Last Update Date
2023-10-19
Business Address
JOHN NATHAN VANVYNCKT
2435 RESEARCH PKWY # 225
COLORADO SPRINGS, CO 80920-1070
Phone number: 719-260-8400
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Mailing Address
JOHN NATHAN VANVYNCKT
6541 ANTELOPE RUN CIR APT 307
COLORADO SPRINGS, CO 80924-8506
Phone number: 772-696-2178
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