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1891149167
ANTHONY DIONGZON
BOULDER, CO
NPI
1891149167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO PTA.0013280)
Enumeration Date
2016-04-22
Last Update Date
2016-04-22
Business Address
ANTHONY DIONGZON
2121 MESA DR
BOULDER, CO 80304-3621
Phone number: 209-480-8413
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Mailing Address
ANTHONY DIONGZON
2121 MESA DR
BOULDER, CO 80304-3621
Phone number:
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