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1477956258
NATHAN ISAAC CARPENTER
PUEBLO, CO
NPI
1477956258
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CO PA.0004099)
Enumeration Date
2014-10-07
Last Update Date
2016-03-02
Business Address
-- NATHAN ISAAC CARPENTER PA
110 E ROUTT AVE
PUEBLO, CO 81004-2117
Phone number: 719-543-8711
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Mailing Address
-- NATHAN ISAAC CARPENTER PA
110 E ROUTT AVE
PUEBLO, CO 81004-2117
Phone number: 719-543-8711
Copy
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