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1336507847
KYLE TIPTON
PUEBLO, CO
NPI
1336507847
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CO 111291)
Enumeration Date
2016-01-29
Last Update Date
2016-08-20
Business Address
-- KYLE TIPTON CRNA
4741 EAGLERIDGE CIRCLE 206
PUEBLO, CO 81008
Phone number: 870-917-5734
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Mailing Address
-- KYLE TIPTON CRNA
4741 EAGLERIDGE CIR APT 206
PUEBLO, CO 81008-2272
Phone number: 870-917-5734
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