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1235651514
BRANDON GEORGE DMYTRUK
PUEBLO, CO
NPI
1235651514
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CO DR.0065006)
Enumeration Date
2017-07-08
Last Update Date
2020-07-21
Business Address
Dr. BRANDON GEORGE DMYTRUK MD
400 W 16TH ST
PUEBLO, CO 81003-2745
Phone number: 719-584-4921
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Mailing Address
Dr. BRANDON GEORGE DMYTRUK MD
5312 OUTLOOK BLVD APT 9302
PUEBLO, CO 81008-1569
Phone number: 630-995-6173
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