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Individual

MR. BRIAN C RUPERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
3401 S LAFAYETTE ST, ENGLEWOOD, CO 80113-2926
(303) 761-0075
(303) 761-2967
Mailing address
3401 S LAFAYETTE ST, ENGLEWOOD, CO 80113-2926
(303) 761-0075
(303) 761-2967

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTA.0012853
CO

Other

Enumeration date
07/25/2013
Last updated
07/25/2013
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