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1700383858
JESSICA CRIDER
BOULDER, CO
NPI
1700383858
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO PTA.0013191)
Enumeration Date
2018-04-06
Last Update Date
2018-04-06
Business Address
JESSICA CRIDER PTA
575 TANTRA DR
BOULDER, CO 80305-6195
Phone number: 720-545-1575
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Mailing Address
JESSICA CRIDER PTA
4476 DRIFTWOOD PL
BOULDER, CO 80301-3173
Phone number: 803-707-0935
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