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1821241480
TRACY ANN BALTHAZOR
BOULDER, CO
NPI
1821241480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CO 3322)
Enumeration Date
2008-10-28
Last Update Date
2008-10-28
Business Address
Mrs. TRACY ANN BALTHAZOR P.T.
4145 NEVIS ST
BOULDER, CO 80301-6818
Phone number: 303-928-9646
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Mailing Address
Mrs. TRACY ANN BALTHAZOR P.T.
3092 NOBLE CT
BOULDER, CO 80301-6211
Phone number: 303-440-8175
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