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1902230410
JENNIFER BLAKELY
COLORADO SPRINGS, CO
NPI
1902230410
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO 13226)
Enumeration Date
2013-09-03
Last Update Date
2013-09-03
Business Address
JENNIFER BLAKELY PTA
8540 SCARBOROUGH DR STE 200
COLORADO SPRINGS, CO 80920-7513
Phone number: 719-630-7500
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Mailing Address
JENNIFER BLAKELY PTA
263 S JASPER CIR
AURORA, CO 80017-3672
Phone number: 954-383-5099
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