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1184338147
TSOMORLOG AUSTIN
PUEBLO, CO
NPI
1184338147
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CO APN.0998362-NP)
Enumeration Date
2023-01-12
Last Update Date
2023-01-12
Business Address
TSOMORLOG AUSTIN
110 E ROUTT AVE
PUEBLO, CO 81004-2117
Phone number: 719-543-8711
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Mailing Address
TSOMORLOG AUSTIN
7758 HIGH GATE DR
FOUNTAIN, CO 80817-4232
Phone number: 414-364-4156
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