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Organization
ANGLETECH
Active
Organization
ANGLETECH
Active
Other names
Cycledifferent
Organization subpart
No
Provider details
NPI number
Authorized official
KELVIN CLARK (OWNER)
(719) 687-7475
Entity
Organization
Contact information
Practice address
1483 GARDEN OF THE GODS RD, COLORADO SPRINGS, CO 80907-3413
(719) 687-7475
Mailing address
1483 GARDEN OF THE GODS RD, COLORADO SPRINGS, CO 80907-3413
(719) 687-7475
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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