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Individual

NOVA RUPP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
502 E PIKES PEAK AVE STE 110, COLORADO SPRINGS, CO 80903-3697
(719) 473-2958
Mailing address
197 VISTA DR, WESTCLIFFE, CO 81252-8589
(720) 366-6021

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0021206
CO

Other

Enumeration date
07/06/2022
Last updated
07/06/2022
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