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1699907915
CARMEN L. LASTINE
FRUITA, CO
NPI
1699907915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174M00000X Veterinarian
(Licence: OK 3964)
Enumeration Date
2009-08-20
Last Update Date
2009-08-20
Business Address
-- CARMEN L. LASTINE D.V.M.
456 KOKOPELLI BLVD UNIT E
FRUITA, CO 81521-8723
Phone number: 970-858-4299
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Mailing Address
-- CARMEN L. LASTINE D.V.M.
2076 VICTORIAN LN
GRAND JUNCTION, CO 81505-8308
Phone number: 970-201-5191
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