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1851063358
ERIC DEFONSO
LONGMONT, CO
NPI
1851063358
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: CO MT.0018510)
Enumeration Date
2021-10-02
Last Update Date
2021-10-02
Business Address
ERIC DEFONSO LMT
5470 HYGIENE RD
LONGMONT, CO 80503-9150
Phone number: 970-818-1567
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Mailing Address
ERIC DEFONSO LMT
5470 HYGIENE RD
LONGMONT, CO 80503-9150
Phone number: 970-818-1567
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