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1427722206
DIANA LIZETH PLASCENCIA
PUEBLO, CO
NPI
1427722206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other Surgical Assistant
(Licence: CO 200274)
Enumeration Date
2021-08-04
Last Update Date
2021-08-04
Business Address
DIANA LIZETH PLASCENCIA FA
2134 DRIFTWOOD LN
PUEBLO, CO 81005-2723
Phone number: 719-369-3450
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Mailing Address
DIANA LIZETH PLASCENCIA FA
2134 DRIFTWOOD LN
PUEBLO, CO 81005-2723
Phone number: 719-369-3450
Copy
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