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1487604278
GAIL D BURCHETT
PUEBLO, CO
NPI
1487604278
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CO C21178)
Enumeration Date
2006-05-11
Last Update Date
2007-12-20
Business Address
-- GAIL D BURCHETT DO
35 ALTADENA DR
PUEBLO, CO 81005-2963
Phone number: 719-564-4618
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Mailing Address
-- GAIL D BURCHETT DO
35 ALTADENA DR
PUEBLO, CO 81005-2963
Phone number: 719-564-4618
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