LAURA DOUGLAS

PUEBLO, CO
NPI1174924203
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: CO  0014506)
Enumeration Date2014-09-08
Last Update Date2014-09-08
Business Address
-- LAURA DOUGLAS
333 COURT ST
PUEBLO, CO 81003-3231
Phone number: 719-994-0769
Mailing Address
-- LAURA DOUGLAS
673 S BOND DR E
PUEBLO WEST, CO 81007-1576
Phone number: 719-994-0769
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