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1255304903
STANLEY C PENSE
CRAIG, CO
NPI
1255304903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: CO 45100)
Additional Taxonomies
208600000X Surgery
(Licence: AZ 23170)
Enumeration Date
2006-02-10
Last Update Date
2012-09-18
Business Address
DR. STANLEY C PENSE M.D.
785 RUSSELL ST
CRAIG, CO 81625-2019
Phone number: 970-826-2420
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Mailing Address
DR. STANLEY C PENSE M.D.
785 RUSSELL ST
CRAIG, CO 81625-2019
Phone number: 970-826-2420
Copy
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