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1255652491
GREGORY L. MCMICHAEL
PUEBLO, CO
NPI
1255652491
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CO 175046)
Enumeration Date
2010-06-22
Last Update Date
2010-06-22
Business Address
-- GREGORY L. MCMICHAEL CRNA
400 W 16TH ST
PUEBLO, CO 81003-2745
Phone number: 719-584-4420
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Mailing Address
-- GREGORY L. MCMICHAEL CRNA
1218 N MAIN ST
PUEBLO, CO 81003-2828
Phone number: 719-543-7877
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