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1528828837
SOUTHERN COLORADO CLINIC PC
PUEBLO, CO
NPI
1528828837
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Entity Type
Organization
Authorized Contact
EVANGELINE (EVIE) HARRIS
Credentialing Specialist
719-553-1804
Organization Subpart ?
Yes
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2024-03-21
Last Update Date
2024-03-26
Business Address
SOUTHERN COLORADO CLINIC PC
2403 SANTA FE DR STE 7
PUEBLO, CO 81006-1497
Phone number: 719-553-2200
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Mailing Address
SOUTHERN COLORADO CLINIC PC
PO BOX 9000
PUEBLO, CO 81008-9000
Phone number: 719-553-2200
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