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Individual

MR. GREGORY SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
3819 CAMBRIA PL, COLORADO SPRINGS, CO 80918-2362
(719) 210-0019
(719) 266-4604
Mailing address
3819 CAMBRIA PL, COLORADO SPRINGS, CO 80918-2362
(719) 210-0019
(719) 266-4604

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0005234
CO

Other

Enumeration date
04/29/2017
Last updated
04/29/2017
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