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1871020594
POWER-UP PERFORMANCE LLC
LAKEWOOD, CO
NPI
1871020594
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Entity Type
Organization
Authorized Contact
MICHAEL HARDIN
Lead Clinician
303-547-0743
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2017-05-12
Last Update Date
2017-05-12
Business Address
POWER-UP PERFORMANCE LLC
631 S DEPEW ST
LAKEWOOD, CO 80226-4845
Phone number: 303-547-0743
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Mailing Address
POWER-UP PERFORMANCE LLC
631 S DEPEW ST
LAKEWOOD, CO 80226-4845
Phone number: 303-547-0743
Copy
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