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1518977651
KIMBERLY A MCCULLAH
PUEBLO, CO
NPI
1518977651
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: CO 903742)
Enumeration Date
2006-08-09
Last Update Date
2007-07-08
Business Address
-- KIMBERLY A MCCULLAH
110 E ROUTT AVE
PUEBLO, CO 81004-2117
Phone number: 719-543-8711
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Mailing Address
-- KIMBERLY A MCCULLAH
310 COLORADO AVE
PUEBLO, CO 81004-2006
Phone number: 719-543-8718
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