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1164861381
KELLY ANN DIMENGO
COLORADO SPRINGS, CO
NPI
1164861381
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
Enumeration Date
2013-06-20
Last Update Date
2013-06-20
Business Address
-- KELLY ANN DIMENGO
13 S TEJON ST STE 501
COLORADO SPRINGS, CO 80903-1513
Phone number: 866-226-8576
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Mailing Address
-- KELLY ANN DIMENGO
764 WOODHAVEN DR
CUYAHOGA FALLS, OH 44223-3085
Phone number: 330-929-9414
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