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Individual

MRS. JAMYE L.D. RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RMT

Contact information

Practice address
1217 RIVERSIDE AVE, FORT COLLINS, CO 80524-3218
(970) 556-3050
Mailing address
3907 ASBURY DR, FORT COLLINS, CO 80526-3251
(970) 556-3050

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
CO

Other

Enumeration date
09/10/2012
Last updated
09/10/2012
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