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1992363634
BRAD A FENTER
GRAND JUNCTION, CO
NPI
1992363634
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CO PTL.0016424)
Enumeration Date
2019-05-29
Last Update Date
2019-12-20
Business Address
BRAD A FENTER DPT
3150 N 12TH ST
GRAND JUNCTION, CO 81506-2863
Phone number: 970-241-5856
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Mailing Address
BRAD A FENTER DPT
PO BOX 10700
GRAND JUNCTION, CO 81502-5517
Phone number: 970-254-2642
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