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1023562030
PVHS-ICM HEALTH AND WELLNESS, LLC
FORT COLLINS, CO
NPI
1023562030
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Other Name
WOODWARD
Entity Type
Organization
Authorized Contact
JAMES SPROWELL
Md
970-495-6201
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2016-08-08
Last Update Date
2016-08-08
Business Address
PVHS-ICM HEALTH AND WELLNESS, LLC
3702 AUTOMATION WAY SUITE 103
FORT COLLINS, CO 80525-5737
Phone number: 970-495-6201
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Mailing Address
PVHS-ICM HEALTH AND WELLNESS, LLC
3702 AUTOMATION WAY SUITE 103
FORT COLLINS, CO 80525-5737
Phone number: 970-495-6201
Copy
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