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1033232590
ELMER ALEX VILLALON
PUEBLO, CO
NPI
1033232590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CO 105952)
Enumeration Date
2007-04-09
Last Update Date
2007-07-08
Business Address
Dr. ELMER ALEX VILLALON DMD
1225 N MAIN ST 207
PUEBLO, CO 81003-2857
Phone number: 719-542-7844
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Mailing Address
Dr. ELMER ALEX VILLALON DMD
1225 N MAIN ST 207
PUEBLO, CO 81003-2857
Phone number: 719-542-7844
Copy
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