ENT CLINIC OF PUEBLO PROF LLC

PUEBLO, CO
NPI1376595504
Entity TypeOrganization
Authorized ContactCHARLENE J HICKSON
Owner/Partner
719-544-3752
Organization Subpart ?No
Primary Taxonomy207Y00000X Otolaryngology
Enumeration Date2006-05-16
Last Update Date2008-01-30
Business Address
ENT CLINIC OF PUEBLO PROF LLC
1304 N GRAND AVE
PUEBLO, CO 81003-2759
Phone number: 719-544-3752
Mailing Address
ENT CLINIC OF PUEBLO PROF LLC
1304 N GRAND AVE
PUEBLO, CO 81003-2759
Phone number: 719-544-3752
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