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1205479557
BRANDIS COURTNEY MONTEZ
PUEBLO, CO
NPI
1205479557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CO APN.0995113-NP)
Enumeration Date
2019-10-18
Last Update Date
2019-10-18
Business Address
BRANDIS COURTNEY MONTEZ
400 W 16TH ST
PUEBLO, CO 81003-2781
Phone number: 719-584-4000
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Mailing Address
BRANDIS COURTNEY MONTEZ
24580 BIRDSONG DR
PUEBLO, CO 81006-2065
Phone number:
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