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1548265002
DANA J WEAVER-OSTERHOLTZ
PUEBLO, CO
NPI
1548265002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: CO 40134)
Enumeration Date
2005-06-20
Last Update Date
2015-09-23
Business Address
Mrs. DANA J WEAVER-OSTERHOLTZ MD
4740 KATAHDIN LN
PUEBLO, CO 81004
Phone number: 719-676-3728
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Mailing Address
Mrs. DANA J WEAVER-OSTERHOLTZ MD
4740 KATAHDIN LN
PUEBLO, CO 81004
Phone number: 719-676-3728
Copy
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