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1548673510
EMMA GALE FITE-WASSILAK
PUEBLO, CO
NPI
1548673510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CO TL.0005292)
Enumeration Date
2014-06-08
Last Update Date
2014-06-08
Business Address
Dr. EMMA GALE FITE-WASSILAK M.D.
902 LAKEVIEW AVE
PUEBLO, CO 81004-3597
Phone number: 719-557-5855
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Mailing Address
Dr. EMMA GALE FITE-WASSILAK M.D.
902 LAKEVIEW AVE
PUEBLO, CO 81004-3597
Phone number:
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