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1720339591
JOHN-REID GORDON
LONGMONT, CO
NPI
1720339591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO 12730)
Enumeration Date
2012-09-19
Last Update Date
2012-09-19
Business Address
Mr. JOHN-REID GORDON PTA
2210 MAIN ST NUMBER 135
LONGMONT, CO 80501-1456
Phone number: 720-204-1746
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Mailing Address
Mr. JOHN-REID GORDON PTA
PO BOX 58
LYONS, CO 80540-0058
Phone number: 303-775-3082
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