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1518911320
AVIS SEVERANCE
GRAND JUNCTION, CO
NPI
1518911320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CO 34092)
Enumeration Date
2006-05-19
Last Update Date
2010-07-15
Business Address
Dr. AVIS SEVERANCE D.O.
2139 N 12TH ST UNIT 4
GRAND JUNCTION, CO 81501-2910
Phone number: 970-257-7116
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Mailing Address
Dr. AVIS SEVERANCE D.O.
2139 N 12TH ST
GRAND JUNCTION, CO 81501-2910
Phone number: 970-257-7116
Copy
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