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1740756543
KHUMBO TAKURA SIPIRIANO
GREENWOOD VILLAGE, CO
NPI
1740756543
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO PTA.0014112)
Enumeration Date
2018-10-18
Last Update Date
2018-10-18
Business Address
KHUMBO TAKURA SIPIRIANO CPTA
8301 E PRENTICE AVE
GREENWOOD VILLAGE, CO 80111-2903
Phone number: 303-322-8300
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Mailing Address
KHUMBO TAKURA SIPIRIANO CPTA
3886 EAGLE TAIL LN
CASTLE ROCK, CO 80104-7925
Phone number: 720-251-9411
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