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1629326905
DEREK WADE STICKLER
PUEBLO, CO
NPI
1629326905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: CO 6888)
Additional Taxonomies
111NR0400X
(Licence: CO 6888)
Enumeration Date
2012-08-17
Last Update Date
2018-04-11
Business Address
DEREK WADE STICKLER D.C.
2447 S PRAIRIE AVE
PUEBLO, CO 81005-2886
Phone number: 254-394-0836
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Mailing Address
DEREK WADE STICKLER D.C.
2447 S PRAIRIE AVE
PUEBLO, CO 81005-2886
Phone number: 254-394-0836
Copy
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