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1710590609
LARA JEAN MCMASTER
GLENDALE, CO
NPI
1710590609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO 0014805)
Enumeration Date
2020-08-28
Last Update Date
2020-08-28
Business Address
LARA JEAN MCMASTER PTA
4500 E CHERRY CREEK SOUTH DR
GLENDALE, CO 80246-1518
Phone number: 303-432-8487
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Mailing Address
LARA JEAN MCMASTER PTA
1119 N FRANKLIN ST
COLORADO SPRINGS, CO 80903-2552
Phone number: 715-214-8565
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