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1972051068
LISA RAE FORD
DURANGO, CO
NPI
1972051068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CO 0008879)
Enumeration Date
2016-09-17
Last Update Date
2016-09-17
Business Address
-- LISA RAE FORD Physical Therapist
101 W 11TH ST STE 107
DURANGO, CO 81301-5108
Phone number: 970-749-4395
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Mailing Address
-- LISA RAE FORD Physical Therapist
539 ELK HORN MOUNTAIN RD
DURANGO, CO 81301-3765
Phone number: 970-749-4395
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