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1093047391
RUSSELL DADE WOUTERS
MONTROSE, CO
NPI
1093047391
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: CO CH6661)
Enumeration Date
2010-02-11
Last Update Date
2011-08-16
Business Address
Dr. RUSSELL DADE WOUTERS D.C.
700 E MAIN ST
MONTROSE, CO 81401-3975
Phone number: 970-249-4213
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Mailing Address
Dr. RUSSELL DADE WOUTERS D.C.
700 E MAIN ST
MONTROSE, CO 81401-3975
Phone number: 970-249-4213
Copy
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