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Individual

ALESSANDRA FASOLATO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T.

Contact information

Practice address
1819 W COLORADO AVE, COLORADO SPRINGS, CO 80904-3872
(719) 471-4174
Mailing address
816 QUERIDA DR, COLORADO SPRINGS, CO 80909-4111
(719) 930-8768

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19767
CO

Other

Enumeration date
04/18/2008
Last updated
04/18/2008
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