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1821693995
CONNOR THOMAS WALL
CARBONDALE, CO
NPI
1821693995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CO 0017394)
Enumeration Date
2020-12-04
Last Update Date
2020-12-04
Business Address
CONNOR THOMAS WALL
564 HIGHWAY 133 LA FONTANA PLAZA
CARBONDALE, CO 81623
Phone number: 970-963-2700
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Mailing Address
CONNOR THOMAS WALL
907 VILLAGE RD
CARBONDALE, CO 81623-1567
Phone number: 970-618-2627
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