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1740877794
MATTHEW MAGNOTTA
BRIGHTON, CO
NPI
1740877794
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CO OTA.0001404)
Enumeration Date
2020-12-23
Last Update Date
2020-12-23
Business Address
MATTHEW MAGNOTTA
2195 E EGBERT ST
BRIGHTON, CO 80601-2538
Phone number: 303-659-1824
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Mailing Address
MATTHEW MAGNOTTA
383 MONTEZUMA ST
BRIGHTON, CO 80601-4190
Phone number:
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