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1710680335
MARIO JAMIE CORNEJO
PUEBLO, CO
NPI
1710680335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO pta.0012995)
Enumeration Date
2023-03-23
Last Update Date
2023-03-23
Business Address
MARIO JAMIE CORNEJO
1201 W ABRIENDO AVE
PUEBLO, CO 81004-1003
Phone number: 719-543-1173
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Mailing Address
MARIO JAMIE CORNEJO
1201 W ABRIENDO AVE
PUEBLO, CO 81004-1003
Phone number: 719-543-1173
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