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Individual

JACQUELYN FEDYK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1918 S LEMAY AVE STE A, FORT COLLINS, CO 80525-1295
(970) 286-0033
Mailing address
3617 PRECISION DR # H264, FORT COLLINS, CO 80528-4594
(206) 940-5081

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0020282
CO

Other

Enumeration date
04/02/2018
Last updated
04/02/2018
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