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1588954598
MARIAH LYNN MIKULAS
PUEBLO, CO
NPI
1588954598
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: CO 271089)
Enumeration Date
2011-04-11
Last Update Date
2011-04-11
Business Address
MARIAH LYNN MIKULAS COTA
2724 FRANKLIN AVE
PUEBLO, CO 81003-1330
Phone number: 719-469-4170
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Mailing Address
MARIAH LYNN MIKULAS COTA
2724 FRANKLIN AVENUE
PUEBLO, CO 81003
Phone number: 719-469-4170
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