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1740649102
JOHN FEDER
BROOMFIELD, CO
NPI
1740649102
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MT 9382)
Enumeration Date
2016-02-15
Last Update Date
2016-02-15
Business Address
-- JOHN FEDER
2716 CANOSSA DR
BROOMFIELD, CO 80020-3811
Phone number: 888-873-4221
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Mailing Address
-- JOHN FEDER
2716 CANOSSA DR
BROOMFIELD, CO 80020-3811
Phone number: 888-873-4221
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