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1659704104
PVHS-ICM EMPLOYEE HEALTH AND WELLNESS, LLC
FORT COLLINS, CO
NPI
1659704104
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Entity Type
Organization
Authorized Contact
BRIAUNA SOUDERS
Manager
970-237-6339
Organization Subpart ?
Yes
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2013-08-19
Last Update Date
2013-08-19
Business Address
PVHS-ICM EMPLOYEE HEALTH AND WELLNESS, LLC
2211 S COLLEGE AVE SUITE 300
FORT COLLINS, CO 80525-1489
Phone number: 970-237-6339
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Mailing Address
PVHS-ICM EMPLOYEE HEALTH AND WELLNESS, LLC
2211 S COLLEGE AVE SUITE 300
FORT COLLINS, CO 80525-1489
Phone number: 970-237-6339
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