LARRY EDWARD TERRELL

PUEBLO, CO
NPI1124237730
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: CO  3164)
Enumeration Date2007-05-21
Last Update Date2007-07-08
Business Address
Mr. LARRY EDWARD TERRELL CAC III
1711 E EVANS AVE
PUEBLO, CO 81004-3349
Phone number: 719-561-9850
Mailing Address
Mr. LARRY EDWARD TERRELL CAC III
3470 BALTIMORE AVE
PUEBLO, CO 81008-1520
Phone number: 719-545-1181
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