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1114149986
PUEBLO FAMILY MEDICINE, PC
PUEBLO, CO
NPI
1114149986
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Entity Type
Organization
Authorized Contact
GREGORY W BERENS
President
719-542-0072
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2007-05-02
Last Update Date
2010-01-22
Business Address
PUEBLO FAMILY MEDICINE, PC
1600 N GRAND AVE STE 310
PUEBLO, CO 81003-2729
Phone number: 719-542-0072
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Mailing Address
PUEBLO FAMILY MEDICINE, PC
1600 N GRAND AVE STE 310
PUEBLO, CO 81003-2729
Phone number: 719-542-0072
Copy
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