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Individual

KIMBERLY JOLE RICHARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CMT

Contact information

Practice address
5140 W 120TH AVE UNIT 100, WESTMINSTER, CO 80020-3336
(303) 451-6706
Mailing address
409 W CLEVELAND ST, LAFAYETTE, CO 80026-1627
(720) 771-8128

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Enumeration date
03/25/2009
Last updated
03/25/2009
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