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1811467194
KEVIN SMITH
GREENWOOD VILLAGE, CO
NPI
1811467194
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO PTA.0014511)
Enumeration Date
2018-11-29
Last Update Date
2018-11-29
Business Address
KEVIN SMITH
8301 E PRENTICE AVE STE 207
GREENWOOD VILLAGE, CO 80111-2905
Phone number: 303-322-8300
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Mailing Address
KEVIN SMITH
4614 VIREOS VW
COLORADO SPRINGS, CO 80922-3590
Phone number: 719-209-9885
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