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1154454809
RICHARD BLAIR MADSEN
PUEBLO, CO
NPI
1154454809
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CO 1340)
Enumeration Date
2007-03-13
Last Update Date
2007-11-05
Business Address
Dr. RICHARD BLAIR MADSEN Ph.D.
417 W 13TH ST
PUEBLO, CO 81003-2703
Phone number: 719-544-0877
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Mailing Address
Dr. RICHARD BLAIR MADSEN Ph.D.
417 W 13TH ST
PUEBLO, CO 81003-2703
Phone number: 719-544-0877
Copy
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