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1801198288
QIYRA MARIE
LONGMONT, CO
NPI
1801198288
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Former Name
ALLYSON MARIE EDMONDS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CO 5814)
Enumeration Date
2010-11-17
Last Update Date
2014-04-28
Business Address
-- QIYRA MARIE MPT
2210 MAIN ST
LONGMONT, CO 80501-1456
Phone number: 303-579-5541
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Mailing Address
-- QIYRA MARIE MPT
PO BOX 2613 428 STICKNEY AVE
LYONS, CO 80540-2613
Phone number: 303-823-5325
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