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1831540962
LORRAINE POLCHAK
PUEBLO, CO
NPI
1831540962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO PTA0012060)
Enumeration Date
2016-06-30
Last Update Date
2016-06-30
Business Address
LORRAINE POLCHAK
4718 N ELIZABETH ST STE A
PUEBLO, CO 81008-2080
Phone number: 719-544-5895
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Mailing Address
LORRAINE POLCHAK
4718 N ELIZABETH ST STE A
PUEBLO, CO 81008-2080
Phone number:
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