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1801200795
DANA GAGE
DURANGO, CO
NPI
1801200795
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QR0400X Clinic/Center, Rehabilitation
(Licence: CO PTA.0013298)
Enumeration Date
2014-06-18
Last Update Date
2014-06-18
Business Address
Ms. DANA GAGE PTA
450 PROSPECTOR AVE
DURANGO, CO 81301-7940
Phone number: 505-716-6942
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Mailing Address
Ms. DANA GAGE PTA
301 MESILLA DR APT 3
AZTEC, NM 87410-1545
Phone number: 505-716-6942
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