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1588057319
JAMES RICHARD ANDERSON
PUEBLO, CO
NPI
1588057319
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CO PA.0004455)
Enumeration Date
2015-03-18
Last Update Date
2015-12-07
Business Address
Mr. JAMES RICHARD ANDERSON PA-C
3676 PARKER BLVD
PUEBLO, CO 81008-2212
Phone number: 719-553-1802
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Mailing Address
Mr. JAMES RICHARD ANDERSON PA-C
P.O. BOX 9000 SOUTHERN COLORADO CLINIC
PUEBLO, CO 82008-9000
Phone number: 719-553-1802
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