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1194268813
MARK NAGEL
PUEBLO, CO
NPI
1194268813
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CO OT.0004316)
Enumeration Date
2016-11-29
Last Update Date
2016-11-29
Business Address
-- MARK NAGEL
2515 PITMAN PL
PUEBLO, CO 81004-2633
Phone number: 719-404-1000
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Mailing Address
-- MARK NAGEL
2515 PITMAN PL
PUEBLO, CO 81004-2633
Phone number: 719-404-1000
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