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1194340802
EPIPHANY DERMATOLOGY OF COLORADO, LLC
GRAND JUNCTION, CO
NPI
1194340802
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Entity Type
Organization
Authorized Contact
GHEORGHE PUSTA
CEO
512-960-5760
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2020-06-09
Last Update Date
2023-12-07
Business Address
EPIPHANY DERMATOLOGY OF COLORADO, LLC
2530 N 8TH ST STE 205
GRAND JUNCTION, CO 81501-8858
Phone number: 970-245-1500
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Mailing Address
EPIPHANY DERMATOLOGY OF COLORADO, LLC
7300 RANCH RD. 2222, BLDG 1, STE 200
AUSTIN, TX 78730
Phone number: 512-628-0465
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