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1245649482
BRIANNA VANSICKLE
PUEBLO, CO
NPI
1245649482
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CO 0001831)
Enumeration Date
2014-08-12
Last Update Date
2014-08-12
Business Address
-- BRIANNA VANSICKLE
2003 NORTHMOOR TER
PUEBLO, CO 81008-1505
Phone number: 719-542-6701
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Mailing Address
-- BRIANNA VANSICKLE
115 W 2ND ST
PUEBLO, CO 81003-3223
Phone number: 719-546-0572
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