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1295273274
CHARLES BLAKE BEYERS
COLORADO SPRINGS, CO
NPI
1295273274
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TX 1063211)
Enumeration Date
2017-02-09
Last Update Date
2017-02-09
Business Address
-- CHARLES BLAKE BEYERS
2270 LA MONTANA WAY 201
COLORADO SPRINGS, CO 80918-6715
Phone number: 719-528-3500
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Mailing Address
-- CHARLES BLAKE BEYERS
7675 KALEB GRV 1511
COLORADO SPRINGS, CO 80920-8221
Phone number: 719-440-2822
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