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1316246937
JACK RANDELL WELLS
COLORADO SPRINGS, CO
NPI
1316246937
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CO PSY.0005193)
Enumeration Date
2011-03-22
Last Update Date
2019-12-30
Business Address
JACK RANDELL WELLS PSYD
1115 ELKTON DR STE 301
COLORADO SPRINGS, CO 80907-3884
Phone number: 719-357-6471
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Mailing Address
JACK RANDELL WELLS PSYD
1115 ELKTON DR STE 301
COLORADO SPRINGS, CO 80907-3884
Phone number: 719-357-6471
Copy
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