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1467457028
BRIAN R SANDOVAL
PUEBLO, CO
NPI
1467457028
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: CO 35181)
Enumeration Date
2005-06-20
Last Update Date
2007-11-06
Business Address
-- BRIAN R SANDOVAL MD
400 W 16TH ST
PUEBLO, CO 81003-2745
Phone number: 719-584-4420
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Mailing Address
-- BRIAN R SANDOVAL MD
1218 N MAIN ST
PUEBLO, CO 81003-2828
Phone number: 719-543-7877
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