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1316328560
CARLY AGNES LACROIX
PUEBLO, CO
NPI
1316328560
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CO DR.0059223)
Enumeration Date
2015-06-13
Last Update Date
2022-07-07
Business Address
Dr. CARLY AGNES LACROIX DO
300 COLORADO AVE
PUEBLO, CO 81004-2006
Phone number: 719-543-8711
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Mailing Address
Dr. CARLY AGNES LACROIX DO
110 E ROUTT AVE
PUEBLO, CO 81004-2117
Phone number: 719-543-8711
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