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1962940825
ALICE JEANETTE RADIC
AURORA, CO
NPI
1962940825
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO PTA 0013282)
Enumeration Date
2017-02-10
Last Update Date
2017-02-10
Business Address
Mrs. ALICE JEANETTE RADIC PTA
13123 E 16TH AVE BOX 385
AURORA, CO 80045-7106
Phone number: 720-777-1234
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Mailing Address
Mrs. ALICE JEANETTE RADIC PTA
13123 E16TH AVE BOX 385 CHILDRENS HOSPITAL CO PHYSICAL THERAPY
AURORA, CO 80045
Phone number: 720-777-1234
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