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Individual

ALEX GRANATA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
3920 N UNION BLVD STE 160, COLORADO SPRINGS, CO 80907-4907
(719) 471-4221
Mailing address
1639 GAYLORD AVE APT 8, PUEBLO, CO 81004-2654
(719) 242-6170

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0022732
CO

Other

Enumeration date
08/05/2019
Last updated
08/05/2019
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