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1003502949
BRIAN C WHITE
PUEBLO, CO
NPI
1003502949
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CO APN.0998492-NP)
Enumeration Date
2023-04-13
Last Update Date
2023-04-13
Business Address
BRIAN C WHITE APRN, PMHNP
226 1/2 S UNION AVE UNIT 205
PUEBLO, CO 81003-3557
Phone number: 719-225-0637
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Mailing Address
BRIAN C WHITE APRN, PMHNP
PO BOX 8191
PUEBLO, CO 81008-8191
Phone number:
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