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1497193718
JUSTIN DIEGEL
PUEBLO, CO
NPI
1497193718
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CO 0054482)
Enumeration Date
2013-06-08
Last Update Date
2016-10-28
Business Address
-- JUSTIN DIEGEL D.O.
300 COLORADO AVE
PUEBLO, CO 81004-2006
Phone number: 719-543-8711
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Mailing Address
-- JUSTIN DIEGEL D.O.
5307 RED CEDAR CT
PUEBLO, CO 81005-5586
Phone number:
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