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1407069164
GINO ORTEGON
PUEBLO, CO
NPI
1407069164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CO 6787)
Enumeration Date
2007-05-08
Last Update Date
2007-07-08
Business Address
Dr. GINO ORTEGON
401 W 12TH ST
PUEBLO, CO 81003-2814
Phone number: 719-583-0555
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Mailing Address
Dr. GINO ORTEGON
401 W 12TH ST
PUEBLO, CO 81003-2814
Phone number:
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