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1972182582
TRACY K NIBLE
CANON CITY, CO
NPI
1972182582
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO PTA.0014952)
Enumeration Date
2021-04-02
Last Update Date
2021-04-02
Business Address
TRACY K NIBLE LPTA
1401 PHAY AVE
CANON CITY, CO 81212-2303
Phone number: 719-275-8656
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Mailing Address
TRACY K NIBLE LPTA
3045 STRATMOOR DR
CANON CITY, CO 81212-9340
Phone number: 719-406-7234
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