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1275662298
CLUB MANOR CLINIC, INC.
PUEBLO, CO
NPI
1275662298
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Entity Type
Organization
Authorized Contact
JOHN DOUGLAS BUSCH
President
719-544-7744
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: CO 5101)
Enumeration Date
2007-03-05
Last Update Date
2008-11-24
Business Address
CLUB MANOR CLINIC, INC.
1805 FORTINO BLVD
PUEBLO, CO 81008-1851
Phone number: 719-544-7744
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Mailing Address
CLUB MANOR CLINIC, INC.
1805 FORTINO BLVD
PUEBLO, CO 81008-1851
Phone number: 719-544-7744
Copy
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