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1952974222
JACQUELINE L DECARLO
PUEBLO, CO
NPI
1952974222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CO OT.0000843)
Enumeration Date
2021-07-23
Last Update Date
2021-07-23
Business Address
JACQUELINE L DECARLO OTR/L
1015 30TH LN
PUEBLO, CO 81006-9524
Phone number: 719-671-2251
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Mailing Address
JACQUELINE L DECARLO OTR/L
1015 30TH LN
PUEBLO, CO 81006-9524
Phone number: 719-671-2251
Copy
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