STAS' TRAKUL

LAKEWOOD, CO
NPI1003015801
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: CO  19960)
Enumeration Date2007-07-12
Last Update Date2007-07-12
Business Address
-- STAS' TRAKUL
8383 W ALAMEDA AVE
LAKEWOOD, CO 80226-3007
Phone number: 303-239-7340
Mailing Address
-- STAS' TRAKUL
8383 W ALAMEDA AVE
LAKEWOOD, CO 80226-3007
Phone number:
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