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1730720251
BENJAMIN JOHN KAKALLIS
AURORA, CO
NPI
1730720251
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: CO 0013968)
Enumeration Date
2019-10-06
Last Update Date
2019-10-06
Business Address
BENJAMIN JOHN KAKALLIS PTA
24300 E SMOKY HILL RD
AURORA, CO 80016-1387
Phone number: 303-680-1772
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Mailing Address
BENJAMIN JOHN KAKALLIS PTA
25300 E ABERDEEN DR
AURORA, CO 80016-6205
Phone number: 562-858-8930
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