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1033773627
QUEENTER KISANG
PUEBLO, CO
NPI
1033773627
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CO DR.006687)
Enumeration Date
2019-04-29
Last Update Date
2024-05-20
Business Address
Dr. QUEENTER KISANG MD
3676 PARKER BLVD
PUEBLO, CO 81008-2212
Phone number: 719-553-1804
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Mailing Address
Dr. QUEENTER KISANG MD
PO BOX 9000
PUEBLO, CO 81008-9000
Phone number: 719-553-1804
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