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1518558741
CHARLES MARVIN BRYANT
PUEBLO, CO
NPI
1518558741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183700000X Pharmacy Technician
(Licence: CO PHATP.0006919)
Enumeration Date
2021-01-30
Last Update Date
2021-01-30
Business Address
Mr. CHARLES MARVIN BRYANT
2730 S PRAIRIE AVE
PUEBLO, CO 81005-3167
Phone number: 719-696-6159
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Mailing Address
Mr. CHARLES MARVIN BRYANT
1609 ZUNI RD
PUEBLO, CO 81001-1620
Phone number: 719-568-5009
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