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1750930020
BRYANT KOOPMANS
LONGMONT, CO
NPI
1750930020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CO 0016631)
Enumeration Date
2019-09-09
Last Update Date
2019-09-09
Business Address
BRYANT KOOPMANS
2144 MAIN ST STE 3
LONGMONT, CO 80501-8403
Phone number: 303-827-3375
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Mailing Address
BRYANT KOOPMANS
701 CHARLES ST
SUPERIOR, CO 80027-9616
Phone number:
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