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1144341959
AGEWELL MEDICAL ASSOCIATES, PC
COLORADO SPRINGS, CO
NPI
1144341959
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Entity Type
Organization
Authorized Contact
JEFFREY T KULP
Owner
719-475-5065
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2007-04-02
Last Update Date
2012-07-30
Business Address
AGEWELL MEDICAL ASSOCIATES, PC
2350 INTERNATIONAL CIR
COLORADO SPRINGS, CO 80910-3139
Phone number: 719-475-5065
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Mailing Address
AGEWELL MEDICAL ASSOCIATES, PC
2350 INTERNATIONAL CIR
COLORADO SPRINGS, CO 80910-3139
Phone number: 719-475-5065
Copy
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