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Individual

RUSTY MILLIRONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8540 SCARBOROUGH DR, SUITE 200, COLORADO SPRINGS, CO 80920-7502
(719) 630-7500
Mailing address
1012 S AVENIDA DEL ORO W, PUEBLO WEST, CO 81007-6155

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1665
OK

Other

Enumeration date
04/12/2011
Last updated
04/12/2011
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