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1700062981
SEAN C ODONNELL
COLORADO SPRINGS, CO
NPI
1700062981
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Entity Type
Organization
Authorized Contact
SEAN C ODONNELL
Owner
719-473-6171
Organization Subpart ?
No
Primary Taxonomy
305S00000X Point of Service
(Licence: CO 25481)
Enumeration Date
2008-01-17
Last Update Date
2011-02-14
Business Address
SEAN C ODONNELL
629 N NEVADA AVE SUITE 110
COLORADO SPRINGS, CO 80903-1040
Phone number: 719-473-6171
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Mailing Address
SEAN C ODONNELL
629 N NEVADA AVE SUITE110
COLORADO SPRINGS, CO 80903-1040
Phone number: 719-473-6171
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