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1902637135
BREANA LYNN FAIR
GOLDEN, CO
NPI
1902637135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CO PTL.0020104)
Enumeration Date
2024-08-09
Last Update Date
2024-09-10
Business Address
BREANA LYNN FAIR
393 WASHINGTON AVE UNIT B
GOLDEN, CO 80403-1889
Phone number: 720-307-7707
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Mailing Address
BREANA LYNN FAIR
393 WASHINGTON AVE UNIT B
GOLDEN, CO 80403-1889
Phone number: 720-307-7707
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