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1548409139
SOUTHERN COLORADO DERMATOLOGY CLINIC PC
PUEBLO, CO
NPI
1548409139
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Entity Type
Organization
Authorized Contact
KRYSTAL JEAN NAKAMURA
Owner
719-564-5544
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: CO 44146)
Enumeration Date
2009-02-05
Last Update Date
2021-05-25
Business Address
SOUTHERN COLORADO DERMATOLOGY CLINIC PC
900 INDIANA AVE STE C
PUEBLO, CO 81004-3767
Phone number: 719-564-5544
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Mailing Address
SOUTHERN COLORADO DERMATOLOGY CLINIC PC
900 INDIANA AVE STE C
PUEBLO, CO 81004-3767
Phone number: 719-564-5544
Copy
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