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1861100711
DENISE WANG ENNIS
GREELEY, CO
NPI
1861100711
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO PTA.0015280)
Enumeration Date
2022-11-09
Last Update Date
2022-11-09
Business Address
DENISE WANG ENNIS
2015 CLUBHOUSE DR STE 102
GREELEY, CO 80634-3651
Phone number: 970-506-4066
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Mailing Address
DENISE WANG ENNIS
2015 CLUBHOUSE DR STE 102
GREELEY, CO 80634-3651
Phone number: 970-506-4066
Copy
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