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1881966430
LARA C JOHNSON
BOULDER, CO
NPI
1881966430
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CO 11568)
Enumeration Date
2012-01-29
Last Update Date
2012-01-29
Business Address
LARA C JOHNSON DPT
2995 BASELINE RD STE 100
BOULDER, CO 80303-2318
Phone number: 303-442-0355
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Mailing Address
LARA C JOHNSON DPT
2333 WALNUT ST APT B
BOULDER, CO 80302-4725
Phone number: 970-381-8526
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